— Chronic lower urinary tract dysfunction not responsive to conventional therapies can be treated by sacral root neuromodulation. Before implantation of a permanent stimulator, the effect is tested by temporary implantation of a wire electrode connected to an external stimulator (PNE). We report our experience with 19 PNE and 2 permanent implants with a follow-up of 12 and 6 months, very good results and no serious side effects. A short excursus follows about PNE and the permanent implant technique and above all indications of this technique and patient selection. From our clinical experience and data, patients with excellent response to PNE, who have urethral or detrusorial instability, would appear to respond best after permanent implant.
— One hundred consecutive patients were studied because of stress incontinence between 1990 and 1993. All the patients agreed to follow an out-patients combined therapeutic rehabilitation protocol: physiotherapy, biofeedback and FES. The short and medium-term results were correlated with all the studied parameters (personal, obstetric, anamnestic, clinical, instrumental). In this unselected population of patients affected by stress incontinence, the full recovery and/or improvement rates of the short-term rehabilitation therapy amounted to 26 and 73%. Such rates are significantly changed by some parameters: severity and the physiopathologic mechanism of the stress incontinence, high parity rate and/or patients’ age. A more careful selection of patients may help us achieve much better results. However, pelvic floor rehabilitation is an efficacious and conservative therapeutic procedure in the treatment of female urinary stress incontinence.
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