Neuromodulation - a therapeutic option for refractory overactive bladder. A recent literature review

Wideochir Inne Tech Maloinwazyjne. 2019 Dec;14(4):476-485. doi: 10.5114/wiitm.2019.85352. Epub 2019 May 23.

Abstract

Overactive bladder (OAB) affects approximately 17% of the population. The treatment of this clinical condition is challenging, especially when conservative therapy is not effective. There are limited options for the treatment of recurrent OAB. Neuromodulation has taken a significant place in the therapy of recalcitrant lower urinary tract dysfunctions over the past 20 years. The aim of this study was to review the literature evaluating the different forms of neuromodulation in various urological clinical conditions and to show the future prospects of this treatment method. Further studies are necessary to determine the effectiveness of neuromodulation and to identify the prognostic factors of therapeutic success. This could be helpful in the selection of patients who will be most likely to respond positively to the treatment.

Keywords: overactive bladder; percutaneous tibial nerve modulation; refractory voiding dysfunction; sacral neuromodulation; urinary incontinence.

Publication types

  • Review