Neuromodulation – a therapeutic option for refractory overactive bladder. A recent literature review

Jacek K. Szymański; Aneta Słabuszewska-Jóźwiak; Kornelia Zaręba; Grzegorz Jakiel

doi:10.5114/wiitm.2019.85352

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abstract:

Review paper

Neuromodulation – a therapeutic option for refractory overactive bladder. A recent literature review

Jacek K. Szymański

¹

,

Aneta Słabuszewska-Jóźwiak

¹

,

Kornelia Zaręba

¹

,

Grzegorz Jakiel

¹

First Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Warsaw, Poland

Videosurgery Miniinv 2019; 14 (4): 476–485

DOI: https://doi.org/10.5114/wiitm.2019.85352

Online publish date: 2019/05/23

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Overactive bladder (OAB) affects approximately 17% of the population. The treatment of this clinical condition is challenging, especially when conservative therapy is not effective. There are limited options for the treatment of recurrent OAB. Neuromodulation has taken a significant place in the therapy of recalcitrant lower urinary tract dysfunctions over the past 20 years. The aim of this study was to review the literature evaluating the different forms of neuromodulation in various urological clinical conditions and to show the future prospects of this treatment method. Further studies are necessary to determine the effectiveness of neuromodulation and to identify the prognostic factors of therapeutic success. This could be helpful in the selection of patients who will be most likely to respond positively to the treatment.

keywords:

Neuromodulation – a therapeutic option for refractory overactive bladder. A recent literature review

Jacek K. Szymański 1 , Aneta Słabuszewska-Jóźwiak 1 , Kornelia Zaręba 1 , Grzegorz Jakiel 1

urinary incontinence, overactive bladder, sacral neuromodulation, percutaneous tibial nerve modulation, refractory voiding dysfunction

Jacek K. Szymański

¹

,

Aneta Słabuszewska-Jóźwiak

¹

,

Kornelia Zaręba

¹

,

Grzegorz Jakiel

¹