Urinary incontinence affects 13 million Americans with an estimated 1 million new cases diagnosed each year.
Urge incontinence is a particularly daunting problem to treat.
Treatment modalities may begin with pelvic muscle exercises, bladder training, biofeedback, or pharmacologic agents. If a patient fails the standard treatments, then an innovative option may be sacral nerve stimulation. The patient had tried Kegel exercises and multiple pharmacologic agents without success. Urodynamics revealed severe detrusor instability with a very limited maximum cystometric capacity. EMG of the pudendal and perineal nerve revealed neuropathy.