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Pudendal Nerve Stimulation

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Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Sacral neurostimulation (SNS) is a minimally invasive treatment option for symptoms of overactive bladder (OAB) when non-invasive therapies such as behavioural modification, pelvic floor rehabilitation and pharmacological therapy have failed. The efficacy of SNS in patients with idiopathic OAB has been shown in clinical trials, with a reported long-term success rate of approximately 70 % and a 5-year patient satisfaction of up to 90 %. The largest systematic review evaluating SNS for neurogenic lower urinary tract dysfunction calculated an overall success rate of 68 %. It follows from these data that in spite of its potential, SNS still offers no solution to the problems of a considerable number of patients with symptoms of (neurogenic) OAB.

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Authors and Affiliations

  1. Department of Urology, Maastricht University Medical Centre, P. Debyelaan 25, Maastricht, 6229 HX, The Netherlands

    Philip E. V. van Kerrebroeck M.D., Ph.D., M.M.Sc. & Martijn A. C. Smits M.D.

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  1. Philip E. V. van Kerrebroeck M.D., Ph.D., M.M.Sc.
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  2. Martijn A. C. Smits M.D.
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Correspondence to Philip E. V. van Kerrebroeck M.D., Ph.D., M.M.Sc. .

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Editors and Affiliations

  1. Department of Urology, Wake Forest University, Winston-Salem, North Carolina, USA

    Gopal H. Badlani

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van Kerrebroeck, P.E.V., Smits, M.A.C. (2014). Pudendal Nerve Stimulation. In: Badlani, G. (eds) Minimally Invasive Therapy for Urinary Incontinence and Pelvic Organ Prolapse. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0008-4_15

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  • DOI: https://doi.org/10.1007/978-1-4939-0008-4_15

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-0007-7

  • Online ISBN: 978-1-4939-0008-4

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