{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:33:59Z","timestamp":1747229639115,"version":"3.40.5"},"reference-count":0,"publisher":"Canadian Urological Association Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CUAJ"],"abstract":"<jats:p>Introduction: Despite high prevalence and increased severity and burden of overactive bladder (OAB) and fecal incontinence (FI) in the elderly, sacral neuromodulation (SNM) is often overlooked as a potential treatment option for this demographic. In this study, we report the outcomes of SNM in patients aged 75 years or older at the time of surgery.\nMethods: We conducted a retrospective cohort study of patients who underwent SNM implantation between 2013 and 2022 performed by a single high-volume urologist at a tertiary center. Success, complication, and adjunct therapy rates were analyzed by Fisher\u2019s or Wilcox rank-sum test as appropriate. We compared outcomes between patients aged 75\u201379 years and octogenarians.\nResults: Of 632 patients, 50 were \uf0b375 years. Patients had a mean age of 78.4\u00b12.6 years and were predominantly female (84%). The indications for SNM were 66% OAB, 16% FI, 16% non-obstructive urinary retention, and 4% pelvic pain. Within the first year, 94% of patients reported satisfaction and improvement in symptoms, while 76% continued to experience improvement beyond one year. SNM insertion led to reduced oral medication use from 68% to 24% (p&lt;0.0001). The complication rate was 16% and mostly included device pain. No significant difference was observed in treatment success, complication, or adjunct therapy rate between age groups.\nConclusions: SNM is a safe and effective option in well-selected patients over the age of 75 years. Treatment success rate is comparable to younger cohorts. Advanced age should not preclude third-line therapy options in this population.<\/jats:p>","DOI":"10.5489\/cuaj.8421","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T09:17:31Z","timestamp":1698139051000},"source":"Crossref","is-referenced-by-count":1,"title":["Sacral neuromodulation in the golden years"],"prefix":"10.5489","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8075-8433","authenticated-orcid":false,"given":"Roseanne","family":"Ferreira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3393-0012","authenticated-orcid":false,"given":"Samuel","family":"Otis-Chapados","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emad","family":"Alwashmi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naeem","family":"Bhojani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin C.","family":"Zorn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilal","family":"Chughtai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1507-7783","authenticated-orcid":false,"given":"Dean S.","family":"Elterman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3456","published-online":{"date-parts":[[2023,10,23]]},"container-title":["Canadian Urological Association Journal"],"original-title":[],"link":[{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/8421\/5882","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/download\/8421\/5882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T09:17:49Z","timestamp":1698139069000},"score":1,"resource":{"primary":{"URL":"https:\/\/cuaj.ca\/index.php\/journal\/article\/view\/8421"}},"subtitle":["Treatment outcomes in elderly 75 years and older"],"short-title":[],"issued":{"date-parts":[[2023,10,23]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,10,23]]}},"URL":"https:\/\/doi.org\/10.5489\/cuaj.8421","relation":{},"ISSN":["1920-1214","1911-6470"],"issn-type":[{"type":"electronic","value":"1920-1214"},{"type":"print","value":"1911-6470"}],"subject":[],"published":{"date-parts":[[2023,10,23]]}}}