Psychological and psychiatric factors as predictors for success in sacral neuromodulation treatment
Lankveld, van, Jacques J.D.M.
Kerrebroeck, van, Philip E.V.
Faculty of Medicine and Health Sciences
BJU international / British Association of Urological Surgeons. - Oxford, 1999, currens
, p. 1834-1836
OBJECTIVE To evaluate if psychological and psychiatric factors can predict the outcome of test stimulation or permanent treatment with sacral neuromodulation (SNM). PATIENTS AND METHODS Between 2006 and 2009, patients with overactive bladder syndrome or non-obstructive urinary retention who were eligible for test stimulation were included. All patients completed the Amsterdam Biographic Questionnaire (ABQ), which measures the personality traits of the patient, and the Symptom Check-List-90-Revised (SCL-90-R), which is a screening instrument for neuroticism, and for current level of complaints. The results of the questionnaires were compared with the outcomes of test stimulation and permanent treatment. In addition to the questionnaires, we also included the psychiatric history as a potential predictive factor. RESULTS On univariate analysis there was no relationship between the psychological characteristics and the outcome of test stimulation or the occurrence of adverse events (AEs) with permanent treatment. A history of psychiatric disease was not related to the outcome of test stimulation, but was shown to be a positive predictor for the occurrence of AEs with permanent SNM treatment. CONCLUSIONS In the present study there was no evidence that psychological screening with the ABQ or SCL-90-R can predict the outcome of SNM treatment. Patients with a medical history of psychiatric disease appear to be more likely to encounter AEs with permanent SNM treatment.