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International Urogynecology Journal

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01-06-2012 | Original Article

Improvement of bowel dysfunction with sacral neuromodulation for refractory urge urinary incontinence

Authors: Bradley C. Gill, Mia A. Swartz, Raymond R. Rackley, Courtenay K. Moore, Howard B. Goldman, Sandip P. Vasavada

Published in: International Urogynecology Journal | Issue 6/2012

Abstract

Introduction and hypothesis

Sacral nerve stimulation (SNS) is approved for urologic indications in the USA and, recently, fecal incontinence. This study described concomitant bowel dysfunction and improvements in bowel and urinary symptoms and quality of life (QOL) in women with refractory urge urinary incontinence (UUI) receiving SNS.

Methods

Women (N = 36) with refractory UUI receiving SNS were prospectively enrolled. Surveys and exams were completed at baseline and follow-up, with symptom and QOL scores measured using validated scales (0–100, none–worst).

Results

A total 24 women were followed up at a median of 4.0 months post-implantation. Of these, 20 (83%) had bowel dysfunction, 13 (54%) used bowel medications at baseline, and 11 (45%) continued them after SNS. The mean/median urinary (54.8 to 32.6) and bowel (23.4 to 14.1) symptom scores improved significantly, as did urinary (64.2 to 14.3) but not bowel (2.4 to 0.0) QOL scores.

Conclusions

Bowel dysfunction is common in women with refractory UUI. SNS improves urinary symptoms and QOL, but improvement in bowel symptoms does not translate into significant QOL changes.

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Title: Improvement of bowel dysfunction with sacral neuromodulation for refractory urge urinary incontinence
Authors: Bradley C. Gill
Mia A. Swartz
Raymond R. Rackley
Courtenay K. Moore
Howard B. Goldman
Sandip P. Vasavada
Publication date: 01-06-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1553-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Improvement of bowel dysfunction with sacral neuromodulation for refractory urge urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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