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Titolo:
Sacral neuromodulation for women with Fowler's syndrome
Autore:
Swinn, MJ; Kitchen, ND; Goodwin, RJ; Fowler, CJ;
Indirizzi:
Natl Hosp Neurol & Neurosurg, Dept Uroneurol, London WC1N 3BG, England Natl Hosp Neurol & Neurosurg London England WC1N 3BG n WC1N 3BG, England Natl Hosp Neurol & Neurosurg, Dept Neurosurg, London WC1N 3BG, England Natl Hosp Neurol & Neurosurg London England WC1N 3BG n WC1N 3BG, England
Titolo Testata:
EUROPEAN UROLOGY
fascicolo: 4, volume: 38, anno: 2000,
pagine: 439 - 443
SICI:
0302-2838(200010)38:4<439:SNFWWF>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
URINARY-TRACT DYSFUNCTION; VOIDING DYSFUNCTION; ELECTROMYOGRAPHIC ACTIVITY; ROOT NEUROMODULATION; URETHRAL SPHINCTER; NERVE-STIMULATION; URGE INCONTINENCE;
Keywords:
sacral neuromodulation; urinary retention; Fowler's syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Swinn, MJ Natl Hosp Neurol & Neurosurg, Dept Uroneurol, Queen Sq, London WC1N 3BG, England Natl Hosp Neurol & Neurosurg Queen Sq London England WC1N3BG d
Citazione:
M.J. Swinn et al., "Sacral neuromodulation for women with Fowler's syndrome", EUR UROL, 38(4), 2000, pp. 439-443

Abstract

Neuromodulation of the sacral nerves has been found to be an effective therapy for a variety of lower urinary tract dysfunctions. The reported success rate for the period of trial stimulation (peripheral nerve evaluation test) prior to permanent implantation of a sacral nerve stimulator is variable, but generally reported to be in the region of 30-50%. We present here theresults of the peripheral nerve evaluation test in 38 patients with urinary retention. 34 of the 38 had been found to have an abnormality of their striated urethral sphincter on electromyography using a concentric needle electrode, i.e., they had the disorder which was described by Fowler and coworkers in 1988. The overall success rate in this group was 68%. We believe that our relatively high success rate is due to sacral neuromodulation working via a mechanism which involves the urethral sphincter, an abnormality which had been demonstrated in 89% of these patients. Twelve of the patients subsequently underwent permanent implantation of a sacral nerve stimulator, and all of them have experienced a return of voiding. However, in 2 patients, there is a persisting need for self-catherization. There is, however, a high reoperation rate. Copyright (C) 2000 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 01:47:47