Mechanisms of action of sacral neuromodulation.
Int Urogynecol J
; 21 Suppl 2: S439-46, 2010 Dec.
Article
em En
| MEDLINE
| ID: mdl-20972548
ABSTRACT
The lower urinary tract dysfunction encompasses voiding, postvoiding, and storage symptoms. Conventional treatment modalities include pharmacotherapy and behavioural therapy. Sacral neuromodulation (SNM) is a safe and minimally invasive treatment modality that has recently gained wide acceptance in the management of urinary urge incontinence, urge frequency, and nonobstructive urinary retention, in particular, among those patients with conditions refractory to conventional methods. We searched multiple electronic databases through June 30, 2009 for eligible studies. We examined published clinical and experimental studies concerning the mechanisms of action of SNM. In the first part of the manuscript, we describe the anatomy and functions of the lower urinary tract including the reflexes involved in its functions and then review the pathophysiology of major types of the lower urinary tract dysfunction. In the second part, we discuss different ways for SNM to control various types of voiding dysfunction. The lower urinary tract dysfunctions affect millions of people worldwide and have a severe impact on their quality of life. SNM offers a safe and minimally invasive modality in the treatment of voiding dysfunctions, especially in patients with conditions refractory to conventional therapies.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Raízes Nervosas Espinhais
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Sistema Urinário
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Fenômenos Fisiológicos do Sistema Urinário
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Transtornos Urinários
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Terapia por Estimulação Elétrica
Limite:
Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article