Ces Urol 2012, 16(1):5-12 | DOI: 10.48095/cccu2012002

Use of neuromodulation in the treatment of lower urinary tract dysfunction

Michal Rejchrt

Urologická klinika 2. LF UK a FN Motol, Praha

Conservative treatment of lower urinary tract dysfunction includes behavioral modifications, pharmacotherapy and pelvic floor exercise. Pharmacotherapy is used most frequently, but it is not always effective and often associated-with adverse effects. If conservative treatment prooves unsucessfull, surgical methods including bladder augmentation and urinary diversions are used. Neuromodulation has the potential to fill the gap between pharmacological and surgical treatment. It has become widely accepted as an alternative method after the failure of first line conservative treatment. The objective of this article is to review all of the methods used in neuromodulation and compare their effectivness, indications and complications.

Keywords: overactive bladder, neuromodulation, stimulator, urge incontinence

Received: November 2, 2011; Accepted: January 12, 2012; Published: January 1, 2012