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International Urogynecology Journal

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01.05.2013 | Original Article

Success rates, quality of life, and feasibility of sacral nerve stimulation in elderly patients: 1-year follow-up

verfasst von: Roberto Angioli, Roberto Montera, Francesco Plotti, Alessia Aloisi, Eva Montone, Marzio Angelo Zullo

Erschienen in: International Urogynecology Journal | Ausgabe 5/2013

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Abstract

Introduction and hypothesis

Urgency urinary incontinence (UUI) frequently occurs in elderly. International guidelines recommend pharmacological therapy as first-line treatment, but elderly do not respond in many cases. The purpose of this study was to report cure rates, quality of life, and feasibility of sacral neurostimulation (SNS) as an alternative option in the elderly.

Materials and methods

From October 2008 to April 2010, women >65 years with UUI who were refractory to pharmacological treatments were enrolled in this study and underwent SNS. At 12 months after surgery, patients were asked to compile a 3-day voiding diary and a urogynecologic standardized questionnaire: the Overactive Bladder Questionnaire (OAB-q).

Results

Eighteen patients met our inclusion criteria. Fifteen (83.3 %) underwent implantation of the neuromodulator. Twelve months after surgery, an overall success rate of 83.3 % was registered. A statistically significant difference (P < 0.0001) between baseline and postsurgery OAB-q scores was recorded.

Conclusions

SNS can be considered an alternative treatment for UUI in older women.

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Titel: Success rates, quality of life, and feasibility of sacral nerve stimulation in elderly patients: 1-year follow-up
verfasst von: Roberto Angioli
Roberto Montera
Francesco Plotti
Alessia Aloisi
Eva Montone
Marzio Angelo Zullo
Publikationsdatum: 01.05.2013
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 5/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1928-3

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Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

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