The success of sacral neuromodulation (SNM) for faecal incontinence (http://www.sciencedirect.com/science/article/pii/S0090429505005340; http://www.sciencedirect.com/science/article/pii/S0022534705677282) and recent FDA approval in April 2011 (http://wwwp.medtronic.com/Newsroom/NewsReleaseDetails.do?itemId=1301684726845&lang=en_US) as prompted interest in providing similar results for urinary incontinence, especially when all other treatment have been exhausted.
Early evidence suggests this novel technique may have a role (http://www.ncbi.nlm.nih.gov/pubmed/20186953): 10 patients were treated in this test of concept. Another 34 patients were treated in a study published in 2005 (http://assoalhopel.dominiotemporario.com/doc/sacral_neuromodulation_I.pdf): sacral neuromodulation is a viable option for the treatment of refractory urinary urge incontinence that occurs after stress urinary incontinence surgery. Older women with no pelvic floor activity who are remote from their incontinence surgery may have a suboptimal response.
A London Clinic already offers SNM for urinary incontinency (http://goo.gl/mLmsp) so it may become another part of the arsenal for managing what can be for some women an awful emotionally challenging condition
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