![]() The assessment of fecal incontinence based its conclusions on evidence from case series (level 4). The health technology assessments for urge incontinence, urgency-frequency, and urinary retention included (RCTs (level 2) as their primary source of evidence for their conclusions. However, none of the assessments reported that they found any incidences of permanent injury or death associated with the device. Complication rates ranged from 33% to 50%. They also reported that there was a substantial complication profile associated with SNS. The assessments consistently reported that SNS was an effective technology in managing these voiding conditions in patients who did not respond to drug or behaviour therapy. One assessment was found that reviewed SNS in patients with fecal incontinence. Patients who respond successfully to treatment may still require pads or diapers, but to a lesser extent.įour health technology assessments were found that reviewed SNS in patients with urge incontinence, urgency-frequency, and/or urinary retention. Pads and/or diapers are used throughout the course of treatment as different therapies are tried. The surgical procedures are generally quite invasive, permanent, and are associated with complications. For those who do not respond to these therapies, the options for treatment are management with diapers or pads, or surgery. About three-quarters of these people will be successfully treated by behaviour and/or drug therapy. The prevalence of urge incontinence, urgency-frequency, and urinary retention in the general population is 3.3% to 8.2%, and the prevalence of fecal incontinence is 1.4% to 1.9%. Fecal incontinence is a loss of voluntary bowel control. It can be caused by a hypocontractile detrusor (weak or no bladder muscle contraction) or obstruction due to urethral overactivity. Urinary retention refers to the inability to void despite having the urge to void. People with urgency-frequency may or may not also experience chronic pelvic pain. Urgency-frequency is an uncontrollable urge to void, which results in frequent, small-volume voids. Briefly, urge incontinence is an involuntary loss of urine upon a sudden urge. They are rarely discussed because patients may be uncomfortable disclosing their symptoms to a health professional or may be unaware that there are treatment options for these conditions. Urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence are prevalent, yet rarely discussed, conditions. Background: Condition and Target Population
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