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Sacral neuromodulation treatment for urinary voiding dysfunctions: Results of treatment with the largest single-center series in a tertiary referral center in Turkey

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dc.contributor.authorKÜTÜKOĞLU, MEHMET UMUT
dc.contributor.authorsUmut Kütükoğlu M. U., Altuntaş T., Şahin B., Onur A. R.
dc.date.accessioned2023-02-20T10:43:00Z
dc.date.available2023-02-20T10:43:00Z
dc.date.issued2022-03-19
dc.description.abstractBackground/aim: Sacral neuromodulation (SNM) is a minimally invasive treatment that modulates spinal reflexes to regulate bladder, urinary sphincter, and pelvic floor and has successfully been used in the treatment of refractory voiding dysfunctions. The aim of this study was to present our experience with SNM in a tertiary referral center with the largest number of patients and review the safety and efficacy of the procedure. Materials and methods: A total of 42 patients with refractory lower urinary tract symptoms were included into the study. After an initial test period, patients who showed more than 50% improvement in their symptoms underwent the second stage of SNM. Twelve patients had overactive bladder (OAB), bladder pain syndrome/interstitial cystitis (BPS/IC) and 17 had urinary retention. The clinical success was examined during follow-up by voiding diary, urodynamics, and global response assessment. Results: Between February 2015 and December 2020, a total of 29 patients underwent stages I&II SNM procedures. The mean ages of patients in OAB/BPS group and retention group were 40 (37–57 years) and 35 (27–44 years), respectively. Mean follow-up time was at least 1 year. Overall, 58.5% success rate was observed in OAB, BPS/IC, and urinary retention groups. Global response assessment score in both groups increased significantly (p = 0.001). No statistically significant difference was found between success or failure rates when sex and age were variable parameters (p > 0.05). Conclusion: SNM appears to be an effective and safe treatment option in restoring voiding dysfunctions in patients with refractory idiopathic and neurogenic voiding dysfunctions. Our initial series revealed favorable results; however, further studies with larger series and longer follow-up are needed.
dc.identifier.citationUmut Kütükoğlu M. U., Altuntaş T., Şahin B., Onur A. R., "Sacral neuromodulation treatment for urinary voiding dysfunctions: Results of treatment with the largest single-center series in a tertiary referral center in Turkey.", Turkish journal of medical sciences, 2022
dc.identifier.doi10.55730/sag-2107-132
dc.identifier.endpage7
dc.identifier.ismnhttps://www.google.com/search?q=Sacral+neuromodulation+treatment+for+urinary+voiding+dysfunctions%3A+Results+of+treatment+with+the+largest+single-center+series+in+a+tertiary+referral+center+in+Turkey&rlz=1C1GCEU_trTR984TR984&oq=Sacral+neuromodulation+treatment+for+urinary+voiding+dysfunctions%3A+Results+of+treatment+with+the+largest+single-center+series+in+a+tertiary+referral+center+in+Turkey&aqs=chrome..69i57j69i61.484j0j15&sourceid=chrome&ie=UTF-8
dc.identifier.issn1300-0144
dc.identifier.startpage1
dc.identifier.urihttps://www.google.com/search?q=Sacral+neuromodulation+treatment+for+urinary+voiding+dysfunctions%3A+Results+of+treatment+with+the+largest+single-center+series+in+a+tertiary+referral+center+in+Turkey&rlz=1C1GCEU_trTR984TR984&oq=Sacral+neuromodulation+treatment+for+urinary+voiding+dysfunctions%3A+Results+of+treatment+with+the+largest+single-center+series+in+a+tertiary+referral+center+in+Turkey&aqs=chrome..69i57j69i61.484j0j15&sourceid=chrome&ie=UTF-8
dc.identifier.urihttps://hdl.handle.net/11424/286588
dc.language.isoeng
dc.relation.ispartofTurkish journal of medical sciences
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSacral neuromodulation
dc.subjectefficacy
dc.subjectvoiding dysfunction
dc.subjecttreatment
dc.titleSacral neuromodulation treatment for urinary voiding dysfunctions: Results of treatment with the largest single-center series in a tertiary referral center in Turkey
dc.typearticle
dspace.entity.typePublication
local.avesis.id0d711a04-3c64-4a72-938f-ca8d92f91fd2
local.indexed.atPUBMED
relation.isAuthorOfPublication4ab70fe0-967a-4176-ac2b-71acd8e9413e
relation.isAuthorOfPublication.latestForDiscovery4ab70fe0-967a-4176-ac2b-71acd8e9413e

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