Publications by authors named "Martijn Smits"
Article Synopsis
- Aims: The study aims to evaluate the success rate of sacral neuromodulation (SNM) in patients with refractory overactive bladder (OAB) who previously received Botulinum toxin A (BoNT-A) injections.
- Methods: Researchers reviewed data from patients referred for SNM between 2006 and 2019, comparing success rates based on prior BoNT-A treatment and assessing satisfaction through voiding diaries.
- Results: Out of 263 patients, those who were BoNT-A naive had a 72.9% success rate with SNM, while those with prior BoNT-A had a success rate of 66.7%. Satisfaction was high among BoNT-A patients, with 86
Objectives: To assess an association between affective symptoms and conventional urodynamic results in a pilot study.
Methods: The study represents a retrospective analysis of prospectively obtained clinical data, voiding diaries, urodynamic parameters and Hospital Anxiety and Depression Scale (HADS).
Results: A total of 74 patients with urinary frequency attending a multidisciplinary pelvic care centre was included in this study.
A 29-year-old male patient was involved in a crush injury of the right pelvis. Trauma screening showed a right-sided fracture of the pubic bone. CT imaging of the abdomen showed an urethral rupture with cranial displacement of the bladder, the so-called 'pie in the sky' sign.
View Article and Find Full Text PDFPurpose: We evaluated whether patients with overactive bladder and incontinence who discontinued intravesical botulinum toxin therapy can be successfully treated with sacral neuromodulation.
Materials And Methods: All patients who were referred to our center after discontinuation of botulinum toxin-A between 2005 and 2010 were included in this observational study. All patients underwent test stimulation with sacral neuromodulation and were evaluated with voiding diaries.
A 52-year-old woman presented with recurrent urinary tract infections and flank pain. Both an abdominal CT-scan and a plain abdominal X-ray showed bilateral nephrocalcinosis and a kidney stone in the left ureter. These findings are suggestive of medullary sponge kidneys.
View Article and Find Full Text PDF[Neuromodulation as a treatment for overactive bladder syndrome].
Ned Tijdschr Geneeskd
October 2012
Neuromodulation is used as a treatment for overactive bladder syndrome, if conservative management is ineffective or only partially effective. Sacral neuromodulation is now a minimally invasive treatment as a result of improvements in surgical technique, and it has good long-term results. Nevertheless the risk of complications such as pain and decreasing effect is still present.
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