Sacral Neuromodulation in Children

Andrew C. Strine, Alison C. Keenan, Shelly King, Benjamin M. Whittam

Research output: Contribution to journalReview article

Abstract

Sacral neuromodulation (SNM) has emerged as a treatment option for refractory lower urinary tract and bowel dysfunction in children. SNM is typically reserved for a select population of children who have failed an extended period of behavioral modification, biofeedback, and pharmacologic therapy. The surgical techniques for SNM in children are analogous to those in adults and include both one- and two-stage procedures as well as a peripheral nerve evaluation with the InterStim® system (Medtronic, Minneapolis, MN). Most studies have observed not only an improvement in symptoms and quality of life in children undergoing SNM for non-neurogenic and neurogenic lower urinary tract dysfunction but also a much higher reoperative rate than in adults. Further high-quality research is necessary to corroborate the results of earlier studies and to better define the indications for SNM in children.

Original languageEnglish (US)
Pages (from-to)332-337
Number of pages6
JournalCurrent Bladder Dysfunction Reports
Volume10
Issue number4
DOIs
StatePublished - Dec 1 2015

Keywords

  • Child
  • Constipation
  • Electrical stimulation therapy
  • Fecal incontinence
  • Urinary incontinence
  • Urination disorders

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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