Application 1115
Sacral Nerve Stimulation for Urinary Indications
Application No | 1115 |
| Application Name | Sacral Nerve Stimulation for Urinary Indications |
| Advisory Panel | Dr Ray Kirk Chair Ms Sheila Rimmer MSAC member Mr Barry Cahill Consumers’ Health Forum nominee Dr Marcus Patrick Carey Royal Australia and New Zealand College of Obstetricians and Gynaecologists nominee Associate Professor Richard Millard Royal Australian College of Surgeons nominee Dr John William Bolt Australia and New Zealand Urological Surgeons nominee |
| Date Received by MSAC Secretariat | 5 March 2007 |
| Stage 1 - Eligibility | Eligible |
| Stage 2 - Assessment | Completed |
| Stage 3 - Formulation of Advice to the Minister | MSAC has considered the safety, effectiveness and cost-effectiveness of sacral nerve stimulation for urinary indications compared with clinical non-surgical management. MSAC finds there is evidence for the safety of sacral nerve stimulation in adults with detrusor overactivity, non-obstructive urinary retention and painful bladder syndrome refractory to conservative, non-surgical intervention. MSAC finds sacral nerve stimulation in adults with detrusor overactivity and non-obstructive urinary retention refractory to conservative, non-surgical intervention is more expensive than, but more effective than clinical non-surgical management. MSAC finds there is insufficient evidence to assess the effectiveness of sacral nerve stimulation in adults with painful bladder syndrome refractory to conservative, non-surgical intervention. MSAC recognises the social and quality of life issues associated with these conditions. MSAC advises that public funding should be supported for the procedure of sacral nerve stimulation in adults with detrusor overactivity and non-obstructive urinary retention refractory to conservative, non-surgical intervention. MSAC advises that public funding should not be supported for the use of sacral neve stimulation for treatment of patients with painful bladder syndrome. |
| Stage 4 - Decision Noting of MSAC advice by the Minister does not constitute a final decision in relation to the provision of public funding. | MSAC considered this assessment on 28 November 2008. The Minister noted MSAC's advice on 8 December 2008. |
| Stage 5 - Implementation | In Progress |
Page currency, Latest update: 09 July, 2009
