Male incontinence: Onabotulinum toxin A and sacral nerve stimulation

摘要

PURPOSE OF REVIEW: Overactive bladder affects 10-12% of men, of which 13% are refractory to medical therapy and seek second-line treatment. This places a substantial clinical and economic burden on the National Health Service United Kingdom. RECENT FINDINGS: This review identifies current evidence for the use of onabotulinum toxin A and sacral nerve neuromodulation for the treatment of overactive bladder in patients who do not respond to optimal medical treatment. Posterior tibial nerve stimulation is not covered here. Clinical and financial implications of the treatments are reviewed. SUMMARY: The focus will remain on recently published evidence, which may be useful to clinicians managing refractory patients.