Abstract
Urge incontinence is common in post-stroke and neurology patients as a result of overactive bladder. It is usually resistant to available treatments such as biofeedback, pharmacotherapy and behavioural therapies. A number of studies have proven the efficacy and safety of sacral nerve stimulation in the treatment of refractory urinary incontinence. A systematic literature search was undertaken to identify randomized controlled trials on the efficacy of sacral nerve stimulation in refractory cases of urinary incontinence. Two trials fulfilled the criteria for inclusion in this review. The meta-analysis indicated that sacral nerve stimulation is an efficient means of treating refractory urinary incontinence. Although the review of limited data suggests that sacral nerve stimulation is an effective and safe treatment for refractory urge incontinence, further research is needed to strengthen these findings.
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