Pediatric Urology

Abstract

Editorial Comment The authors report on the long-term results of patients treated with sacral neuromodulation for lower urinary tract voiding dysfunction. The authors noted that the greatest success of this therapeutic modality was in patients with chronic urinary retention. They had a less degree of efficacy in patients treated with urgency and frequency and minimal success in patients with urinary urge incontinence. This is an excellent paper reporting on the long-term results on sacral neuromodulation. It makes excellent reading for those physicians interested in the application of this technology in their practice. It highlights the efficacy of this therapy in the voiding dysfunction of urinary retention and the disappointing results when applied for pelvic pain or urinary urge incontinence. The discussion section is excellent especially in its efficient review of the literature available of the long-term results for chronic sacral neuromodulation. It is quite thought provoking that the technology had its highest success rates in a potentially idiopathic disease process.