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- W1982118978 abstract "Single-centre retrospective follow-up study (short-term and medium-term efficacy, complications, revisions) of patients treated for refractory urinary disorders by sacral nerve neurostimulation (Interstim, Medtronic, U.S.A.).A sacral nerve neurostimulation screening test was performed in 79 patients with refractory urinary disorders between 1999 and 2005 and a neurostimulator was implanted in 41 of these patients. Patients were evaluated by bladder diary, MHU urinary disability score, and urodynamic assessment.The mean follow-up was 20.5 months. A significant improvement of bladder diary parameters and MHU urinary disability score was observed at 6, 12, and 24 months of follow-up. At 20.5 months, 22 (54%) patients were considered to be failures and 3 were explanted. Five patients were considered to be a success, and 14 were improved, i.e. 19 (46%) success/improvement at 20.5 months of follow-up. The only predictive factor of success was a history of symptoms lasting less than 5 years before neurostimulator implantation. A complication was observed in 70% of patients. More than one half of patients reported pain at some time during follow-up. Four infections were observed, one of which required explantation. Ten technical problems due to accidental deactivation or interference with a magnetic field were observed. Seven patients (17%) required revision: repositioning of the leads due to inefficacy in 3 cases, and change of position of the device in 4 cases.Sacral nerve neurostimulation is an effective treatment in refractory urinary disorders in more than 45% of implanted patients, although this effect tends to wane over time. Our results are less favourable than those described in the literature, but were based on stricter endpoints. A high complication rate, mainly pain, was observed, but most required only symptomatic management. This technique nevertheless remains a good alternative to invasive surgical management of functional disorders." @default.
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- W1982118978 date "2007-11-01" @default.
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- W1982118978 title "Etude sur l’efficacité et les complications à moyen terme de 41 implantations de neuromodulateur des racines sacrées (InterstimTM, Medtronic, USA) dans les troubles urinaires réfractaires" @default.
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- W1982118978 doi "https://doi.org/10.1016/s1166-7087(07)78577-9" @default.
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