Abstract
Neuromodulation, particularly in the form of sacral nerve stimulation (SNS), has gained acceptance for treatment of patients with refractory symptoms of overactive bladder and nonobstructive urinary retention. Thus far it has most commonly been used in women, so its use specifically in men has not yet been thoroughly evaluated. A selective expert review of the current literature on the subject of overactive bladder in men using MEDLINE was performed and the topic is summarized. We performed a subanalysis of male-specific outcomes from multicenter trials in which we were a participant. We also review our own institution’s experience using SNS in men over the past 10 years. SNS has proven to be a safe, effective, and durable treatment for patients with refractory overactive bladder and nonobstructive urinary retention, with male patients responding as well as female patients. Further studies are needed to address the efficacy of SNS for the treatment of men with chronic pelvic pain, chronic prostatitis, and prostatodynia.
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