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- W2604443127 abstract "You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction III1 Apr 2017PD39-04 SACRAL NEUROMODULATION FOR DETRUSOR HYPERACTIVITY WITH IMPAIRED CONTRACTILITY Derek Hennessey, Nathan Hoag, and Johan Gani Derek HennesseyDerek Hennessey More articles by this author , Nathan HoagNathan Hoag More articles by this author , and Johan GaniJohan Gani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1731AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Detrusor hyperactivity with impaired contractility (DHIC) is a challenging condition to manage. Sacral neuromodulation (SNM) is a proven treatment modality for both the individual aspects of DHIC. To date, reporting the effect of SNM on a DHIC cohort of patients is lacking. METHODS Consecutive patients undergoing SNM for DHIC were followed prospectively, from April 2013 to October 2016. Patient demographics, bladder diaries, subjective response rates, ICIQ-OAB and PGI-I scores were recorded. Success was defined as greater than 50% symptom improvement in urgency, urge incontinence, and a greater than 50% improvement in voided volume or reduction of post-void residual volumes. RESULTS Twenty patients underwent stage 1 trial of SNM. Average age was 68.5 years, IQR (54.25 -76.25). 13 (65%) patients were female. 13/20 (65%) of patients had a response to the detrusor overactivity component. 10/20 (50%) of patients showed an improvement in the voiding component. 9/20 (45%) of patients showed responses to both components. 6/20 (30%) patients had no response whatsoever. Overall, 12/20 (60%) patients proceeded to insertion of an IPG. At follow up of 17 months, IQR (1.5 – 35), 11/12 (91.7%) of patients were still using the SNM device, median PGI score was 2, IQR (2 – 4). In addition, SNM resulted in statistically significant improvement in voided volume (p=0.016), PVR (p=0.0296), ICIQ-OAB score (p<0.0001) and ICIQ-OAB bother score (p=0.016). CONCLUSIONS SNM is a potential treatment option for DHIC with an acceptable success rate, treating both the detrusor hyperactivity, and impaired contractility components of this condition. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e745-e746 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Derek Hennessey More articles by this author Nathan Hoag More articles by this author Johan Gani More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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- W2604443127 title "PD39-04 SACRAL NEUROMODULATION FOR DETRUSOR HYPERACTIVITY WITH IMPAIRED CONTRACTILITY" @default.
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