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Incontinence

Pediatric sacral neuromodulation for refractory incontinence

Nature Reviews Urology volume 7, pages 482–483 (2010)Cite this article

Subjects

New research confirms that sacral nerve stimulation is a feasible option for treating subjective symptoms of urinary and fecal incontinence in children. However, owing to a lack of correlation between objective and clinical response parameters, we require standardized means of assessing outcomes in this patient population.

The use of sacral neuromodulation in children began with the treatment of non-neurogenic dysfunctional elimination in 2001 via transcutaneous electrical nerve stimulation with electrode application at the S3 nerve root level.5,6 Since then, its application has broadened to include treatment of neurogenic urinary and fecal incontinence via SNS.3,4,7 Percutaneous tibial nerve stimulation has also been described for both neuropathic and non-neuropathic voiding dysfunction.8,9 Newer treatment modalities, such as lumbar-to-sacral nerve rerouting have been described in neurogenic dysfunctional elimination syndromes with variable response rates, and remain investigational.

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References

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Authors and Affiliations

  1. Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, 55905, MN, USA

    Janelle A. Fox

  2. Pediatric Surgical Associates, Children's Hospital of Minneapolis, 2530 Chicago Avenue South, Suite 550, Minneapolis, 55404, MN, USA

    Yuri E. Reinberg

Authors
  1. Janelle A. Fox
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  2. Yuri E. Reinberg
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Correspondence to Janelle A. Fox.

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The authors declare no competing financial interests.

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Fox, J., Reinberg, Y. Pediatric sacral neuromodulation for refractory incontinence. Nat Rev Urol 7, 482–483 (2010). https://doi.org/10.1038/nrurol.2010.137

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  • DOI: https://doi.org/10.1038/nrurol.2010.137

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