Outcomes of sacral neuromodulation in male patients with overactive bladder, chronic pelvic pain, and fecal incontinence.
Can J Urol
; 31(4): 11943-11949, 2024 Aug.
Article
in En
| MEDLINE
| ID: mdl-39217518
ABSTRACT
INTRODUCTION:
Despite the growing body of literature on sacral neuromodulation (SNM) outcomes, research focusing on male patients remains limited and often represented by small cohorts nested within a larger study of mostly women. Herein, we evaluated the outcomes of SNM in a male-only cohort with overactive bladder (OAB), fecal incontinence (FI), chronic bladder pain, and neurogenic lower urinary tract dysfunction (NLUTD). MATERIALS ANDMETHODS:
This retrospective cohort study included 64 male patients who underwent SNM insertion between 2013 and 2021 at a high-volume tertiary center. Indications for SNM therapy included OAB, FI, chronic pelvic pain, and NLUTD. Descriptive statistics, Fisher's and t-test were used in analysis.RESULTS:
The mean age was 57.7 ± 13.4 years, and the most frequent reason for SNM insertion was idiopathic OAB (72%), FI (16%), pelvic pain (11%), and NLUTD (11%). A majority (84%) of men received treatment prior to SNM insertion. 84% reported satisfaction and 92% symptom improvement within the first year, and these improvements persisted beyond 1 year in 73% of patients. Mean follow up was 52.7 ± 21.0 months. The complication rate was 23%, and the need for adjunct treatments was significantly reduced (73% to 27%, p < 0.001). Treatment outcomes did not differ significantly between various indications for SNM therapy or the presence of benign prostatic hyperplasia (BPH).CONCLUSION:
SNM is an effective and safe procedure for male patients with neurogenic and non-neurogenic OAB, pelvic pain, and FI. Over 70% of patients experienced symptomatic improvement and remained satisfied in the mid to long term follow up. BPH does not seem to hinder treatment outcomes.Key words
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Electric Stimulation Therapy
/
Pelvic Pain
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Urinary Bladder, Overactive
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Fecal Incontinence
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Chronic Pain
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Lumbosacral Plexus
Limits:
Adult
/
Aged
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Humans
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Male
/
Middle aged
Language:
En
Journal:
Can J Urol
Journal subject:
UROLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Canadá
Country of publication:
Canadá