Abstract
Surgery remains the last resort in the management of overactive bladder (OAB) resulting from detrusor overactivity because of its associated risks and complications, including retention and the consequences of incorporating bowel segments into the urinary tract (ie, production of mucus, electrolyte imbalance, and potential for malignant change). Careful evaluation and specialist assessment, including urodynamic evaluation, is required before surgical intervention. Surgical management is reserved for severe cases of urgency incontinence that are refractory to conservative treatment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bramble FJ (1990). The clam cystoplasty. Br J Urol 66:337–341.
Bramble FJ (1982). The treatment of adult enuresis and urge incontinence by enterocytoplasty. Br J Urol 54:693–6.
Elliott SP, Meng MV, Anwar HP, et al (2002). Complete laparoscopic ileal cystoplasty. Urology 59:939–43.
Filmer RB, Spencer JR (1990). Malignancies in bladder augmentations and intestinal conduits. J Urol 143:671–678.
Atala A (2000). New methods of bladder augmentation. BJU Int 85(suppl):24–34.
Cartwright PC, Snow BW (1989). Bladder autoaugmentation: early clinical experience. J Urol 142:505–507.
Oerlemans DJ, van Kerrebroeck PE (2008). Sacral nerve stimulation for neuromodulation of the lower urinary tract. Neurourol Urodyn 27:28–33.
Govier FE, Scott L, Nitti V, et al (2001). Percutaneous afferent neuromodulation for the refractory overactive bladder: results of a multicentre study. J Urol 165:1193–1198.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag London Limited
About this chapter
Cite this chapter
Wein, A.J., Chapple, C. (2012). Neuromodulation and Surgical Approaches. In: Overactive Bladder in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84628-831-9_7
Download citation
DOI: https://doi.org/10.1007/978-1-84628-831-9_7
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-84628-830-2
Online ISBN: 978-1-84628-831-9
eBook Packages: MedicineMedicine (R0)