Griebling Tomas L
Department of Urology and The Landon Center on Aging, The University of Kansas, Kansas City, KS 66160, USA.
Int Urogynecol J. 2010 Dec;21 Suppl 2:S485-9. doi: 10.1007/s00192-010-1278-y.
Sacral neuromodulation has become a widely accepted form of therapy in the overall spectrum of treatment options for urinary urgency and frequency, urge urinary incontinence, and some forms of nonobstructive urinary retention. Voiding dysfunction is very common in geriatric patients, and urgency and urge urinary incontinence are among the most prevalent forms of urinary problems in this population. Despite the fact that many different treatment options are available for these conditions, successful treatment of voiding problems in the elderly is often quite challenging. This may be exacerbated by underlying comorbidities which preclude or limit the utility of some therapies including medications. Published literature on the use and clinical outcomes of sacral nerve stimulation in older adults was reviewed and summarized. Available clinical studies examining the use of sacral neuromodulation in geriatric patients are reviewed and placed in the context of the overall treatment of voiding dysfunction in the elderly population. Sacral neuromodulation may represent a viable, minimally invasive treatment option for some older adults.
在尿急、尿频、急迫性尿失禁以及某些非梗阻性尿潴留的整体治疗选择范围内，骶神经调节已成为一种被广泛接受的治疗方式。排尿功能障碍在老年患者中非常常见，而尿急和急迫性尿失禁是该人群中最普遍的泌尿问题形式。尽管针对这些病症有许多不同的治疗选择，但成功治疗老年人的排尿问题往往颇具挑战性。潜在的合并症可能会加剧这种情况，这些合并症会排除或限制包括药物在内的一些疗法的效用。对关于老年人骶神经刺激的使用和临床结果的已发表文献进行了综述和总结。对研究老年患者骶神经调节使用情况的现有临床研究进行了综述，并将其置于老年人群排尿功能障碍整体治疗的背景下。骶神经调节可能是一些老年人可行的微创治疗选择。
