Use of Sacral Neuromodulation in the Management of ... - SUNA
Use of Sacral Neuromodulation in the Management of ... - SUNA
Use of Sacral Neuromodulation in the Management of ... - SUNA
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Cl<strong>in</strong>ical Results: 5-Year<br />
Efficacy<br />
Purpose<br />
This post-approval, non-randomized, multicenter study provided data on <strong>the</strong> longterm<br />
effects <strong>of</strong> sacral nerve stimulation for <strong>the</strong> treatment <strong>of</strong> ur<strong>in</strong>ary urge<br />
<strong>in</strong>cont<strong>in</strong>ence, ur<strong>in</strong>ary urgency-frequency, and ur<strong>in</strong>ary retention <strong>in</strong> patients who had<br />
failed or could not tolerate more conservative treatments. The study took place at<br />
17 centers <strong>in</strong> <strong>the</strong> United States, Canada, and Europe.<br />
Results<br />
The study demonstrated that InterStim Therapy can be a long-term<br />
solution for patients with overactive bladder or non-obstructive ur<strong>in</strong>ary<br />
retention. Based on <strong>the</strong> subset <strong>of</strong> study subjects for whom both basel<strong>in</strong>e and<br />
five-year data were available (i.e., <strong>the</strong> evaluable sample), improvement ranged<br />
from 39% to 78%, depend<strong>in</strong>g on <strong>the</strong> outcome assessed. If all implanted study<br />
subjects are considered (i.e., <strong>the</strong> <strong>in</strong>tent-to-treat sample) and miss<strong>in</strong>g five-year data<br />
are imputed us<strong>in</strong>g basel<strong>in</strong>e values (or, <strong>in</strong> <strong>the</strong> absence <strong>of</strong> basel<strong>in</strong>e values, from <strong>the</strong><br />
mean basel<strong>in</strong>e <strong>of</strong> all subjects with basel<strong>in</strong>e values), <strong>the</strong> results range from 28% to<br />
58%, depend<strong>in</strong>g on <strong>the</strong> outcome assessed.<br />
See InterStim Therapy Cl<strong>in</strong>ical Summary for complete details.