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y in the FENIX group. Further research is needed to clarify the treatment pathways for sacral nerve stimulation and to determine its true clinical and cost-effectiveness. Current Controlled Trials ISRCTN16077538. This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in ; Vol. 25, No. 18. See the NIHR Journals Library website for further project information. This project was funded by the National Institute for Health Research (NIHR) Health Tech