Sacral Neuromodulation for Lower Urinary Tract Dysfunction in Spinal Cord Injury: A Systematic Review and Meta-Analysis.

Abstract:

OBJECTIVE:To evaluate the intervention effect of sacral neuromodulation (SNM) in the treatment of lower urinary tract dysfunction after spinal cord injury (SCI). METHODS:We selected relevant studies published between January 1, 1971 and November 15, 2018 by searching the PubMed, EMBASE, Cochrane databases. The outcome was assessed as follows: patients who had at least 50% improvement in bladder diary variables (number of leakages, pad use, number of voids, number of catheterizations, and so on). All analyses were performed with R software (version 3.5.1). We used Cochran's Q test and I2 statistics to evaluate the heterogeneity. RESULTS:A total of 8 articles met all inclusion criteria for the systematic review. According to the Oxford Centre for Evidence-Based Medicine hierarchy, the evidence levels ranged from 2b to 4. During the test phase of SNM, we considered 108 patients. During the test phase, the merged success rate was 45% (95% CI 36-55%, p = 0.23, I2 = 31%). Overall, 99 patients were considered during the permanent implantation phase of SNM; the mean follow-up time ranged from 8.4 to 61.3 months, and the merged success rate of the permanent SNM phase was 75% (95% CI 64-83%, p = 0.46, I2 = 0%). All the reported adverse events were resolved. CONCLUSIONS:Based on current evidence, the success rate of the test phase of SNM for LTUD in SCI patients was low, but in the permanent phase, the success rate of SNM was optimistic. In the future, well-designed randomized controlled trial with adequate sample sizes and power are necessary to validate the efficacy and safety of SNM.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Hu M,Lai S,Zhang Y,Liu M,Wang J

doi

10.1159/000501529

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

337-343

issue

3

eissn

0042-1138

issn

1423-0399

pii

000501529

journal_volume

103

pub_type

杂志文章,meta分析
  • Renal Cell Carcinoma with Venous Thrombus: Should Surgery Be Offered When Metastasis Is Present at Diagnosis?

    abstract:INTRODUCTION:Renal cell carcinoma (RCC) reveals a tendency towards venous invasion in its advanced stages, making clinical management challenging. Survival may be improved following surgery, but is less clear if it applies to patients with metastatic disease at diagnosis. MATERIALS AND METHODS:Review of clinical files...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000493510

    authors: Manso M,Pacheco-Figueiredo L,Santos-Silva A,Silva J,Silva C,Cruz F

    更新日期:2018-01-01 00:00:00

  • Experimental varicocele induces p53-dependent germ cell apoptosis through activation of γ-H2AX.

    abstract:AIM:Since DNA damage-related apoptosis is raising concerns regarding abnormal spermatogenesis, we investigated the changes in γ-H2AX during testicular germ cell apoptotic responses in the varicocele model. MATERIALS AND METHODS:Varicocele was induced by partial ligation of the left renal vein and animals were sacrific...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000316356

    authors: Chang IY,Kim JH,Park KH,Yoon SP

    更新日期:2010-01-01 00:00:00

  • Hypocitraturia as a pathogenic risk factor in the mixed (calcium oxalate/uric acid) renal stones.

    abstract::A small group of patients with nephrolithiasis who forms mixed (calcium oxalate and uric acid) calculi presents particular problems in their clinical management. In 3,158 stones analyzed in our laboratory, we found 158 mixed calculi in 86 of the patients. In this work, the clinical and biochemical results obtained fro...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:

    authors: Alvarez Arroyo MV,Traba ML,Rapado A

    更新日期:1992-01-01 00:00:00

  • Robot-Assisted Bladder Diverticulectomy with Concurrent Management of Bladder Outlet Obstruction.

    abstract:INTRODUCTION:Robot-assisted bladder diverticulectomy (RABD) through a technique for easier identification of diverticulum along with concomitant management of bladder outlet obstruction (BOO) utilizing a combination of transurethral prostatectomy (TUR-P) and photoselective vaporization of prostate (PVP) is presented. ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000443799

    authors: Tufek I,Mourmouris P,Argun OB,Öbek C,Keskin MS,Akpinar H,Atug F,Kural AR

    更新日期:2016-01-01 00:00:00

  • Tissue effects resulting from eraser laser enucleation of the prostate: in vivo investigation.

    abstract:UNLABELLED:BACKGROUND/AIMS/OBJECTIVES: To describe the depth of the laser coagulation zone in vivo based on histological examinations and the functional outcome of a 1,318-nm diode laser for enucleation in benign prostatic enlargement (BPE). METHODS:A total of 20 patients with BPE were treated by laser Eraser® enuclea...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000353554

    authors: Lusuardi L,Hager M,Kloss B,Hruby S,Colleselli D,Zimmermann R,Janetschek G,Mitterberger M

    更新日期:2013-01-01 00:00:00

  • Impaction and Prediction: Does Ureteral Wall Thickness Affect the Success of Medical Expulsive Therapy in Pediatric Ureteral Stones?

    abstract:OBJECTIVE:The study aimed to evaluate the predictive value of ureteral wall thickness (UWT) and stone-related parameters for medical expulsive therapy (MET) success with an alpha blocker in pediatric upper ureteral stones. PATIENTS AND METHODS:A total of 35 children receiving MET ureteral stones (<10 mm) were evaluate...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000453668

    authors: Tuerxun A,Batuer A,Erturhan S,Eryildirim B,Camur E,Sarica K

    更新日期:2017-01-01 00:00:00

  • Enuresis prevalence and accompanying factors in schoolchildren: a questionnaire study from southeast Anatolia.

    abstract:INTRODUCTION:The aims of this study were to establish the prevalence of enuresis, to determine accompanying factors, and to identify common methods in the management of enuresis in Turkish children aged between 6 and 11 years living in eastern Anatolia. METHODS:The parents of 3,527 schoolchildren aged between 6 and 11...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000079696

    authors: Ozkan KU,Garipardic M,Toktamis A,Karabiber H,Sahinkanat T

    更新日期:2004-01-01 00:00:00

  • Radical cystectomy for bladder cancer in the 70+ population: a nation-wide registry analysis of 845 patients.

    abstract:AIM:To analyze demographics, perioperative mortality and overall survival of radical cystectomy (RC) in patients aged 70+ years in Austria in a nation-wide registry cohort. PATIENTS AND METHODS:All patients >69 years who underwent RC in public hospitals (covering >95% of all surgical procedures) in Austria between 199...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000316100

    authors: Madersbacher S,Bauer W,Willinger M,Wehrberger C,Berger I,Brössner C

    更新日期:2010-01-01 00:00:00

  • Radio-contrast enhancement of a urinary tract calculus.

    abstract::We report the case of a woman who presented with obstruction and urosepsis of her left kidney secondary to small cystine calculi. The calculi could not be seen on initial plain abdominal X-ray. However, following percutaneous nephrostogram the calculi became more radio-dense and visible on later X-rays. Experimental e...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000030375

    authors: Brierly RD,Mostafid AH,Fletcher MS

    更新日期:1999-01-01 00:00:00

  • Is diabetic neuropathy responsible for diabetic impotence?

    abstract::It is well known that diabetes mellitus is accompanied by complications of sexual dysfunction and it is believed that diabetic neuropathy may cause impotence. In our study, we found that not all the patients who visited our center with the chief complaint of diabetic impotence were suffering from organic impotence, an...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282978

    authors: Takanami M,Nagao K,Ishii N,Miura K,Shirai M

    更新日期:1997-01-01 00:00:00

  • Characterization of effector cells mediating the augmentation of spontaneous cell-mediated cytotoxicity induced by therapeutic infarction of human renal carcinomas.

    abstract::Spontaneous cell-mediated cytotoxicity has been shown to be augmented after therapeutic infarction of human renal carcinomas. The effector cell responsible for the enhanced cytotoxicity was characterized by fractionation by adherence to nylon-wool and serum-coated plastic surfaces, density, and reactivity with certain...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000280983

    authors: Johnson G,Kalland T

    更新日期:1984-01-01 00:00:00

  • The management of T1G3 bladder cancer.

    abstract:INTRODUCTION:The treatment of T1G3 bladder cancer is still a controversial issue. Nowadays, intravesical bacillus Calmette-Guérin (BCG) instillation is considered to be the treatment of choice for patients with high-grade superficial bladder tumour after transurethral resection of all visible tumour. The aim of this re...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000066121

    authors: Bogdanović J,Marusić G,Djozić J,Sekulić V,Budakov P,Dejanović N,Stojkov J

    更新日期:2002-01-01 00:00:00

  • Comparison of lumbar flank approach and transperitoneal approach for radical nephrectomy.

    abstract::A retrospective analysis based on Robson's tumor stage classification was performed on 56 patients with renal cell carcinoma who had undergone radical nephrectomy through a lumbar flank approach and 35 who had through a transperitoneal approach. The 5-year survival rates of patients with nephrectomy through the lumbar...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000281772

    authors: Sugao H,Matsuda M,Nakano E,Seguchi T,Sonoda T

    更新日期:1991-01-01 00:00:00

  • Chemodissolution of urinary uric acid stones by alkali therapy.

    abstract::Experience with chemodissolution of uric acid stones in 30 patients is presented. Chemodissolution was achieved either with infusion of 0.16 M i.v. lactate or oral sodium bicarbonate, in addition to liberal fluid intake and allopurinol wherever indicated. In some cases direct chemodissolution by in situ irrigation wit...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282302

    authors: Sharma SK,Indudhara R

    更新日期:1992-01-01 00:00:00

  • DNA methylation analysis in immature testicular sperm cells at different developmental stages.

    abstract::Testicular sperm extraction and intracytoplasmic sperm injection (TESE-ICSI) is a frequently used therapeutic option in azoospermic males. Genetic imprinting is a mechanism of gene regulation - mediated by the methylation of deoxyribonucleic acids (DNA) - by which only one of the parental copies of a gene is expressed...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000050972

    authors: Manning M,Lissens W,Weidner W,Liebaers I

    更新日期:2001-01-01 00:00:00

  • Nuclear magnetic resonance in advanced prostate cancer (stage D).

    abstract::Nuclear Magnetic Resonance (NMR), a recently developed diagnostic method, has proved to be useful in the study of patients with prostatic disease. The authors report their experience with this technique in 10 cases of advanced prostate cancer (stage D) treated with LH-RH agonists (HOE 766-Buserelin). NMR provided info...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000281218

    authors: Chéchile G,Zungri E,Mallo N,Sanz M,Setoain J,Díaz I,Valdés L

    更新日期:1986-01-01 00:00:00

  • A DNA Hypermethylation Profile Independently Predicts Biochemical Recurrence Following Radical Prostatectomy.

    abstract:PURPOSE:Detection of DNA hypermethylation is emerging as a novel molecular biomarker for different malignancies. We intend to define whether a hypermethylation profile of patients with prostate cancer (PCa) predicts biochemical recurrence (BCR) after radical prostatectomy (RP). MATERIAL AND METHODS:Genome-wide methyla...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000446446

    authors: Angulo JC,Lopez JI,Dorado JF,Sanchez-Chapado M,Colas B,Ropero S

    更新日期:2016-01-01 00:00:00

  • Efficacy of low-molecular-weight heparin and unfractionated heparin to prevent adhesion of human prostate and bladder carcinoma and melanoma cells to bovine endothelial monolayers. An in vitro study and review of the literature.

    abstract::Adherence of human prostate carcinoma (PC 3, DU 145), bladder (647 V, J 82) carcinoma and melanoma (RPMI-8252) cell lines to plastic and bovine endothelial monolayers (BEM) was tested in the presence of 0.5, 1, 5, 10, 20 IU of low-molecular-weight heparin (LMWH), unfractionated heparin (UFH) or saline as a control. Cu...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282848

    authors: Lersch C,Gericke D,Classen M

    更新日期:1996-01-01 00:00:00

  • Urgency, detrusor overactivity and posterior vault prolapse in women who underwent pelvic organ prolapse repair.

    abstract:INTRODUCTION:We investigated the relationship between posterior vault prolapse and overactive bladder (OAB) symptoms or detrusor overactivity (DO) and their changes after surgical repair. METHODS:Forty-three patients with vault prolapse and prevalent posterior compartment prolapse underwent pelvic organ prolapse repai...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000345944

    authors: Costantini E,Lazzeri M,Zucchi A,Mearini L,Fragalà E,Del Zingaro M,Bini V,Porena M

    更新日期:2013-01-01 00:00:00

  • [Progress in urolithiasis research. Report and comments on the Urolithiasis Symposium 1981, Bonn (author's transl)].

    abstract:EPIDEMIOLOGY:The annual incidence of urolithiasis in the population is at least 0.1%. In rural areas, there are remarkably less actual stone formers than in urban districts, and also vegetarians show less stone diseases. Calcium carbonate as a urinary calculus compound is not in the strict sense impossible, but often a...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000280781

    authors: Asper R

    更新日期:1981-01-01 00:00:00

  • In vivo measurement of force in the ureter. I. Basics of a new measurement principle.

    abstract::A new device for the simultaneous in vivo measurement of pressure and developed force in the ureter is introduced. The 5-French catheter was cystoscopically inserted into the ureters of 12 dogs under anesthesia. The forms of the peristaltic waves for pressure and force show considerable differences. A basal force anal...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282119

    authors: Pohl J,Dambacher U,Marx G

    更新日期:1991-01-01 00:00:00

  • Bilateral Renal Autotransplantation May Be an Effective and Definitive Treatment in Case of Loin Pain Haematuria Syndrome.

    abstract::Loin pain haematuria (LPHS) is a rare and difficult-to-diagnose syndrome. Different therapeutic approaches have been used historically with little or no success. We report a case of LPHS in which bilateral renal autotransplantation led to pain relief, cessation of all medication and no recurrence beyond two years of f...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000430503

    authors: Rohrer F,Déglise S,Bettschart V,Schmidtko J

    更新日期:2017-01-01 00:00:00

  • Anaesthesia in transrectal prostate biopsy: which is the most effective technique?

    abstract:BACKGROUND:Prostate biopsy (PBx) techniques have changed significantly since the original Hodge's scheme, with an increase in the number and location of cores. These improvements have been realized in part because of the introduction of different local anaesthesia techniques. We critically analysed the literature discu...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,评审

    doi:10.1159/000327827

    authors: Maccagnano C,Scattoni V,Roscigno M,Raber M,Angiolilli D,Montorsi F,Rigatti P

    更新日期:2011-01-01 00:00:00

  • Cystic nephroma, cystic partially differentiated nephroblastoma and cystic Wilms' tumor in children: a spectrum with therapeutic dilemmas.

    abstract:BACKGROUND:Cystic renal tumors are a diagnostic and therapeutic challenge. Cystic nephroma (CN), cystic partially differentiated nephroblastoma (CPDN) and cystic Wilms' tumor (CWT) are a spectrum with CN at the benign end, CWT at the malignant end and CPDN in the intermediate position. CN and stage 1 CPDN are often tre...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000176028

    authors: van den Hoek J,de Krijger R,van de Ven K,Lequin M,van den Heuvel-Eibrink MM

    更新日期:2009-01-01 00:00:00

  • Nerve sparing and continence preservation during radical prostatectomy.

    abstract::Prostate cancer is one of the most common malignancies occurring in men. During the last decade, several advances have been made in decreasing the morbidity of surgical therapy. Two major advances have included an improved understanding of the physiology of erection and anatomy of pelvic parasympathetic nerves mediati...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,评审

    doi:10.1159/000282149

    authors: Narayan P

    更新日期:1991-01-01 00:00:00

  • Current information on sacral neuromodulation and botulinum toxin treatment for refractory idiopathic overactive bladder syndrome: a review.

    abstract::The overactive bladder syndrome (OAB) negatively affects the daily life of many people. Conservative treatments, such as antimuscarinics, do not always lead to sufficient improvement of the complaints and/or are often associated with considerable side effects resulting in treatment failure. In the case of failure or i...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,评审

    doi:10.1159/000288223

    authors: Leong RK,De Wachter SG,van Kerrebroeck PE

    更新日期:2010-01-01 00:00:00

  • Holmium Laser Enucleation of the Prostate Provides Similar Incidental Prostate Cancer Detection Rates as Open Prostatectomy: A Matched Pair Analysis.

    abstract:INTRODUCTION:Whereas the excellent functional outcomes after Holmium laser enucleation of the prostate (HoLEP) and its equivalency to open prostatectomy (OP) have been studied in detail in the past years, the oncological equivalency has yet to be investigated. Therefore, we conducted a matched pair analysis to evaluate...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000492923

    authors: Rosenhammer B,Lausenmeyer EM,Mayr R,Burger M,Eichelberg C

    更新日期:2018-01-01 00:00:00

  • Roles of adrenergic drugs in the renal pelvic pacemaker control of ureteral peristalsis.

    abstract::Experiments were performed to explore the influence of noradrenaline and isoproterenol on the ureteral peristalsis in the canine pelviureteral system in vitro. The rhythmic changes of intrapelvic pressure no longer became manifest, and simultaneously recorded electromyograms revealed disappearance of peristalsis at si...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000280908

    authors: Morita T,Tsuchida S

    更新日期:1983-01-01 00:00:00

  • Real-Life Data on Mirabegron in Neurogenic Bladder Dysfunction.

    abstract:AIMS:To determine factors for treatment persistence in a real-life cohort of adult neurogenic lower urinary tract dysfunction. METHODS:We reviewed records of patients with neurogenic lower urinary tract dysfunction and mirabegron prescriptions. Exclusion criteria were indwelling urethral or suprapubic catheters and im...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000500349

    authors: Soebadi MA,Hakim L,Van der Aa F,De Ridder D

    更新日期:2019-01-01 00:00:00

  • Intracavernous injection of prostaglandin E1: the application to cavernosography and penile blood flow measurement for the diagnosis of venogenic impotence.

    abstract::We injected 20 micrograms of prostaglandin E1 (PGE1) intracavernously in 32 patients with impotence, we then examined penile blood flow using a Xe-133 washout technique. In addition, we also performed a cavernosography. After PGE1 injection, 18 patients (56%) showed complete erection, 10 (31%) tumescence, and 4 (13%) ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282131

    authors: Ishigooka M,Irisawa C,Watanabe H,Adachi M,Ishii N,Nakada T

    更新日期:1991-01-01 00:00:00