Use of sacral neuromodulation in the treatment of overactive bladder syndrome

Authors

  • Shahirah Khalid Azzuz Department of Urology, East Jeddah Hospital, Jeddah, Saudi Arabia
  • Ziyad Abdulrahman Alosfur College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  • Abdulrahman Yousef Alshammari College of Medicine, University of Hail, Hail, Saudi Arabia
  • Rakan Hamoud Alsukaybi College of Medicine, University of Hail, Hail, Saudi Arabia
  • Khalid Salamah Alfuhaid College of Medicine, University of Hail, Hail, Saudi Arabia
  • Abdulmajeed Mazi Alanazi College of Medicine, University of Hail, Hail, Saudi Arabia
  • Abdulaziz Naif Alshammari College of Medicine, University of Hail, Hail, Saudi Arabia
  • Abdulaziz Fahad Alanazi College of Medicine, University of Hail, Hail, Saudi Arabia
  • Ali Ahmed Al-Ghassab College of Medicine, University of Hail, Hail, Saudi Arabia
  • Nayef Khaled Alenezi Department of Urology, Jahra Hospital, Al Jahra, Kuwait
  • Khalid Ibrahim Alrehili College of Medicine, University of Hail, Hail, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20250067

Keywords:

Sacral neuromodulation, Overactive bladder syndrome, Neuromodulation therapy, Urinary incontinence, Pelvic disorders

Abstract

Overactive bladder syndrome (OAB) is a prevalent condition characterized by urinary urgency, frequency, and incontinence, significantly impacting patients’ quality of life. Sacral neuromodulation (SNM) has emerged as an effective treatment, particularly for individuals unresponsive to conventional therapies. SNM operates by modulating sacral nerve activity to restore normal bladder function, offering both symptom relief and enhanced quality of life. Recent clinical studies demonstrate its long-term efficacy, with sustained improvements in urgency and frequency, and high patient satisfaction rates. Mechanisms underlying SNM involve the modulation of peripheral and central nervous pathways, normalizing overactive detrusor activity and rebalancing excitatory and inhibitory neural signals. Advances in device technology, including rechargeable systems and adaptive stimulation, have further optimized its clinical utility. Minimally invasive techniques and improved electrode designs have enhanced the safety and accessibility of SNM, reducing complications and recovery times. Emerging applications of SNM extend beyond OAB, showing potential in managing neurogenic bladder, fecal incontinence, and chronic pelvic pain. Integration with digital health technologies allows for remote monitoring and personalized adjustments, improving patient outcomes and adherence. Future directions include exploring combined therapies, expanding indications, and leveraging machine learning for tailored neuromodulation. As innovations continue to refine SNM, its role in treating complex pelvic disorders is set to expand, offering a durable, effective solution for patients with refractory conditions. This evolution highlights SNM’s transformative potential in both urological and multidisciplinary care.

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References

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Published

2025-01-24

How to Cite

Khalid Azzuz, S., Alosfur, Z. A., Alshammari, A. Y., Alsukaybi, R. H., Alfuhaid, K. S., Alanazi, A. M., Alshammari, A. N., Alanazi, A. F., Al-Ghassab, A. A., Alenezi, N. K., & Alrehili, K. I. (2025). Use of sacral neuromodulation in the treatment of overactive bladder syndrome. International Journal Of Community Medicine And Public Health, 12(2), 1061–1065. https://doi.org/10.18203/2394-6040.ijcmph20250067

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Section

Review Articles