The Evidence for Implantable Sacral Neuromodulation in Pediatric Voiding Dysfunction Article Swipe
Mariam Malallah
,
Anne P. Cameron
,
Bryan S. Sack
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s11884-024-00759-1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1007/s11884-024-00759-1
Purpose of Review The purpose of this review is to evaluate the evidence regarding the efficacy and safety of implantable sacral neuromodulation (SNM) in pediatric patients with voiding dysfunction. The aim is to address the lack of substantial supporting data for SNM use in pediatric populations and provide insights into its potential as a treatment option. Recent Findings Recent research indicates that SNM can be an effective treatment for pediatric voiding dysfunction when conventional therapies fail. A systematic review of eight studies published between 2008 and 2021, involving 427 pediatric patients, revealed promising outcomes. These included a 68% improvement rate in urinary symptoms, with 39% experiencing complete resolution. Urodynamic improvements were also noted, with reductions in detrusor pressure, uninhibited detrusor contractions, and postvoid residual volume. However, complications such as lead issues, device migration or erosion, pain, and IPG replacement were observed in a notable percentage of cases, necessitating reoperation in some instances. Summary In conclusion, implantable SNM emerges as a potentially effective treatment for pediatric voiding dysfunction, improving urinary symptoms and quality of life. However, the presence of complications underscores the importance of careful risk-benefit assessment for individual patients. Further research is warranted to address varying success rates and complications, emphasizing the need for improved trial quality in this field. The findings of this review highlight the potential impact of SNM in pediatric populations and underscore the need for continued investigation and refinement of this therapeutic approach.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s11884-024-00759-1
- OA Status
- hybrid
- Cited By
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All OpenAlex metadata
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https://openalex.org/W4400098002Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1007/s11884-024-00759-1Digital Object Identifier
- Title
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The Evidence for Implantable Sacral Neuromodulation in Pediatric Voiding DysfunctionWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-06-27Full publication date if available
- Authors
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Mariam Malallah, Anne P. Cameron, Bryan S. SackList of authors in order
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https://doi.org/10.1007/s11884-024-00759-1Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1007/s11884-024-00759-1Direct OA link when available
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Sacral nerve stimulation, Medicine, Neuromodulation, Physical medicine and rehabilitation, Intensive care medicine, Urology, Internal medicine, StimulationTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.symptoms, | 103 |
| abstract_inverted_index.therapies | 75 |
| abstract_inverted_index.treatment | 55, 68, 163 |
| abstract_inverted_index.warranted | 193 |
| abstract_inverted_index.Urodynamic | 109 |
| abstract_inverted_index.assessment | 186 |
| abstract_inverted_index.importance | 182 |
| abstract_inverted_index.individual | 188 |
| abstract_inverted_index.instances. | 152 |
| abstract_inverted_index.percentage | 145 |
| abstract_inverted_index.reductions | 115 |
| abstract_inverted_index.refinement | 233 |
| abstract_inverted_index.supporting | 39 |
| abstract_inverted_index.systematic | 78 |
| abstract_inverted_index.underscore | 226 |
| abstract_inverted_index.conclusion, | 155 |
| abstract_inverted_index.dysfunction | 72 |
| abstract_inverted_index.emphasizing | 201 |
| abstract_inverted_index.implantable | 20, 156 |
| abstract_inverted_index.improvement | 99 |
| abstract_inverted_index.populations | 46, 224 |
| abstract_inverted_index.potentially | 161 |
| abstract_inverted_index.reoperation | 149 |
| abstract_inverted_index.replacement | 139 |
| abstract_inverted_index.resolution. | 108 |
| abstract_inverted_index.substantial | 38 |
| abstract_inverted_index.therapeutic | 236 |
| abstract_inverted_index.underscores | 180 |
| abstract_inverted_index.uninhibited | 119 |
| abstract_inverted_index.conventional | 74 |
| abstract_inverted_index.dysfunction, | 167 |
| abstract_inverted_index.dysfunction. | 29 |
| abstract_inverted_index.experiencing | 106 |
| abstract_inverted_index.improvements | 110 |
| abstract_inverted_index.risk-benefit | 185 |
| abstract_inverted_index.complications | 127, 179 |
| abstract_inverted_index.contractions, | 121 |
| abstract_inverted_index.investigation | 231 |
| abstract_inverted_index.necessitating | 148 |
| abstract_inverted_index.complications, | 200 |
| abstract_inverted_index.neuromodulation | 22 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5041461670 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 3 |
| corresponding_institution_ids | https://openalex.org/I2799949964 |
| citation_normalized_percentile.value | 0.69657219 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |