J Pannek1, M Nehiba. 1. Urologische und Neurourologische Klinik der Ruhr-Universität Bochum, Marienhospital Herne. juergen.pannek@cityweb.de
Abstract
PURPOSE: The Stoller peripheral neurostimulation (SANS) is a new therapeutic procedure for bladder dysfunction. MATERIAL AND METHODS: Each of 11 patients (8 women, 3 men) underwent 12 SANS treatment sessions. INDICATIONS: overactive bladder (5 patients), chronic nonobstructive urinary retention (3 patients) and pelvic pain (3 patients). Median follow-up was 3 months. RESULTS: In 2 overactive bladder patients, the number of voids was reduced by at least 50%. In one patient with chronic retention, residual urine was temporarily decreased to <100 cc. 2 pelvic pain patients reported a slight improvement. In summary, 50% of the patients demonstrated a temporary response. Only 2 overactive bladder patients reported a permanent objective and subjective improvement. No complications were observed. CONCLUSION: As the success rate was low and the procedure is time-consuming, we recommend the SANS procedure only in selected cases. We perform SANS treatment only in patients with overactive bladder refractory to conservative treatment. Prerequisites for a successful treatment is a high patient motivation.
PURPOSE: The Stoller peripheral neurostimulation (SANS) is a new therapeutic procedure for bladder dysfunction. MATERIAL AND METHODS: Each of 11 patients (8 women, 3 men) underwent 12 SANS treatment sessions. INDICATIONS: overactive bladder (5 patients), chronic nonobstructive urinary retention (3 patients) and pelvic pain (3 patients). Median follow-up was 3 months. RESULTS: In 2 overactive bladderpatients, the number of voids was reduced by at least 50%. In one patient with chronic retention, residual urine was temporarily decreased to <100 cc. 2 pelvic painpatients reported a slight improvement. In summary, 50% of the patients demonstrated a temporary response. Only 2 overactive bladderpatients reported a permanent objective and subjective improvement. No complications were observed. CONCLUSION: As the success rate was low and the procedure is time-consuming, we recommend the SANS procedure only in selected cases. We perform SANS treatment only in patients with overactive bladder refractory to conservative treatment. Prerequisites for a successful treatment is a high patient motivation.
Authors: M R van Balken; V Vandoninck; K W Gisolf; H Vergunst; L A Kiemeney; F M Debruyne; B L Bemelmans Journal: J Urol Date: 2001-09 Impact factor: 7.450
Authors: R A Janknegt; M M Hassouna; S W Siegel; R A Schmidt; J B Gajewski; D A Rivas; M M Elhilali; D C Milam; P E van Kerrebroeck; H E Dijkema; A A Lycklama à Nÿeholt; M Fall; U Jonas; F Catanzaro; C J Fowler; K A Oleson Journal: Eur Urol Date: 2001-01 Impact factor: 20.096