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- W3029848872 abstract "ObjectiveTo assess the effectiveness and safety of sacral neuromodulation (SNM) for neurogenic bladder and/or bowel dysfunction.MethodsBetween March 2002 and December 2014, 32 patients with neurogenic bladder and/or bowel dysfunction were treated with a preliminary test SNM in China Rehabilitation Research Center. If at least 50% clinical improvement occurred, the patient would undergo a permanent SNM procedure. The patients were evaluated by using a bladder diary, post-void residual volume measurement and the Wexner questionnaire score for constipation before and during the test, and after the permanent SNM.ResultsIn the test phase, the rate of improvement in dysuria (23%, 6/26) was significantly lower than urgency, frequency (59%, 13/22), urinary incontinence (69%, 11/16), and constipation (64%, 16/25) (P<0.05). An implant was performed in 17 (53%) cases. Nine patients whose symptoms had not been resolved completely chose to undergo permanent SNM combined with other treatments. No complications were reported in test phase. During the follow-up period (1–152 months), 2 patients (12%) failed, and 1 patient had vesicoureteral reflux.ConclusionsSNM is effective and safe to treat neurogenic bladder and/or bowel dysfunction. For those patients with multiple bladder and bowel symptoms, SNM can not always resolve all the symptoms, but may be helpful in improving multiple symptoms by combining with other treatments.Key words: Urinary bladder, neurogenic; Quality of life; Sacral neuromodulation; Bowel dysfunction" @default.
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- W3029848872 date "2015-02-15" @default.
- W3029848872 modified "2023-09-22" @default.
- W3029848872 title "Evaluation of sacral neuromodulation for neurogenic bladder and bowel dysfunction" @default.
- W3029848872 doi "https://doi.org/10.3760/cma.j.issn.1000-6702.2015.02.003" @default.
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