Incontinence
Further optimization of Sacral Neuromodulation therapy - Randall Leong 2012
Sacral neuromodulation (SNM) is an accepted treatment option for patients with idiopathic overactive bladder syndrome (I-OAB) or non-obstructive urinary retention and who are refractory to conservative treatment. Since FDA approval in 1997, an increasing number of patients have been treated with SNM.
Evolution in sacral neuromodulation for lower urinary tract symptoms - Anco Voskuilen 2012
Lower urinary tract symptoms (symptoms of an overactive bladder or disturbed bladder emptying) have considerable impact on the quality of life of patients and involve high costs for society. Medication is not always effective. Sacral neuromodulation (SNM) is a treatment for these symptoms, which induces changes in the responsible reflex paths by electrostimulation. This dissertation has shown that this therapy is effective and safe for the long term. After 5 years, appr. 70% of the patients benefit from this therapy. It was also shown that improvements in the operation techniques and equipment that were introduced throughout the years lead to a decrease of complications. Furthermore, the first results of the implantation of another model of electrode are presented. Contrary to the ‘old’ electrode this can be placed with local anaesthesia.
Pelvic Physiotherapy in Faecal Incontinence - Esther Bols 2011
Progress in sacral neuromodulation of the lower urinary tract - Wout Schepens 2003
This thesis focuses on the treatment of lower urinary tract dysfunctions (urge incontinence, urgency frequency and chronic urinary retention) with sacral neuromodulation. The aim of this thesis is to find ways to improve the results of sacral neuromodulation and to study different strategies to perform it. A study of the identification of predictive factors for sacral neuromodulation is also included. An overview of the anatomy and physiology of the lower urinary tract is provided, and the developments of sacral neuromodulation, its clinical and technical aspects arc discussed. This is the way in which the thesis contributes to the improvement of this therapy modality.
Conservative treatment for women with stress incontinence and bladder overactivity - Bary Berghmans 2000
This thesis focuses on the physiotherapeutic management of lower urinary tract disorders, resulting in stress urinary incontinence, and on the conservative treatment of women with symptoms of urgency, frequency and/or motor urge urinary incontinence due to detrusor instability or bladder overactivity. The aim of this thesis is to make an inventarisation of the current state and the art of the conservative treatment. Next to this, we have tested the efficacy of conservative treatments for women with stress urinary incontinence or bladder overactivity. The Intemationai Continence Society defines urinary incontinence as the objectively demonstrable involuntary loss of urine, to such a degree of severity that it is a social or hygienic problem.