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Sacral neuromodulation (SNM) with Interstim therapy (Medtronic, Minneapolis, MN) has become one of the accepted treatment options for patients with medication-refractory overactive bladder (OAB) with or without incontinence.1 While this modality has shown some interesting results, many unanswered questions remain. With the current data available, we do not recommend SNM for OAB patients for the following reasons.

Concerns regarding sacral neuromodulation as a treatment option for medical-refractory overactive bladder