National Practice Patterns of Infection Prophylaxis for Sacral Neuromodulation Device: A Survey of High Volume Providers

Lee, Eugene W.; Lucioni, Alvaro; Lee, Una; Kobashi, Kathleen C.

doi:10.1016/j.urpr.2014.07.003

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…The French Association of Urology and the Neuro-Urology Committee suggested alternative prophylactic regimens including intravenous cefotetan/cefoxitin 2 g, amoxicillin-clavulanic acid 2 g or, in the case of allergy, vancomycin 15 mg/kg or clindamycin 600 mg (grade B recommendation). A recent survey of high-volume sacral neuromodulation providers showed that all implanters administered antibiotics preoperatively, most commonly cefazolin or vancomycin, and 81% recommended 5 to 7 days of antibiotic treatment postoperatively, most commonly cephalexin and trimethoprim-sulfamethoxazole, while only 19% did not prescribe postoperative antibiotics [ 19 , 20 ]. The quadripolar lead is positioned percutaneously under fluoroscopy guidance through the third sacral foramen following the trajectory of S3.…”

Section: Surgical Aspectsmentioning

confidence: 99%

Sacral Neuromodulation: Device Improvement and Current Applications in Urology

Spilotros,

Gerbasi,

Lasorsa

et al. 2024

Medicina

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Sacral neuromodulation (SNM) offers a therapeutic approach to urological patients suffering from idiopathic overactive bladder (OAB) syndrome, with or without incontinence and non-obstructive urinary retention (NOR), who are not responding to or are not compliant with conservative or medical therapies. The exact mechanism of action of SNM is not fully understood but modulation of the spinal cord reflexes and brain networks by peripheral afferents is regarded as the main pathway. Over the years, surgical techniques improved, leading to the development of the modern two-stage implantation technique. The quadripolar lead is positioned percutaneously under fluoroscopy guidance through the third sacral foramen following the trajectory of S3. The procedure can be performed under local or general anesthesia with the patient in prone position. Current applications of sacral neuromodulation in urology are increasing thanks to the recent improvements of the devices that make this a valuable option not only in conditions such as overactive bladder and non-obstructing urinary retention but also neurogenic lower urinary tract dysfunction.

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Section: Surgical Aspectsmentioning

confidence: 99%