What management option can be considered for patients with urge incontinence not responding to conservative treatment?

In cases of urge incontinence where conservative treatments have failed, sacral nerve stimulation is a viable management option that has demonstrated efficacy. This technique involves implanting a device that stimulates the sacral nerves, which are involved in bladder function. The stimulation helps improve bladder control and reduce the frequency of urge incontinence episodes by modulating the neural pathways related to bladder overactivity.

Sacral nerve stimulation is particularly useful for patients who have not benefited from lifestyle modifications, pelvic floor exercises, medications, or behavioral therapies, offering an advanced alternative for symptom relief when conservative measures are inadequate. This approach is supported by clinical studies showing improved outcomes for patients with refractory urge incontinence, making it a suitable next step in management.