Sacral Neuromodulation in Children With Dysfunctional Elimination Syndrome: Description of Incisionless First Stage and Second Stage Without Fluoroscopy

McGee, Shawn M.; Routh, Jonathan C.; Granberg, Candace F.; Roth, Timothy J.; Hollatz, Pam; Vandersteen, David R.; Reinberg, Yuri

doi:10.1016/j.urology.2008.10.067

Cited by 26 publications

(21 citation statements)

References 5 publications

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“…Posterioranterior fluoroscopy is helpful to identify the sacral foramina in case of difficult needle insertion and lateral fluoroscopy is required to identify the depth of needle and especially electrode insert. However, McGee et al [31] reported methods of reduced skin incisions and exposure to radiation in children. The use of computed tomography for needle and electrode positioning has been reported by Amoroso et al [32] for patients with suboptimal sacral anatomy.…”

Section: Implantation Technique: Needle Insertionmentioning

confidence: 99%

How Does Sacral Modulation Work Best? Placement and Programming Techniques to Maximize Efficacy

et al. 2011

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Since receiving approval from the US Food and Drug Administration in 1997, sacral neuromodulation (SNM) has become the recommended treatment of urinary urge incontinence, urgency-frequency, nonobstructive urinary retention, and fecal incontinence. The manufacturer has introduced different technical modifications while surgeons and researchers have adapted and published various innovations and alterations of the technique. This review summarizes the current knowledge and recommendations of SNM preoperative decision making, the implantation technique, and available programming parameters and algorithms based on MEDLINE research, manufacturer instructions, and the approach of an experienced neurourological team. The primary steps and technical aspects to optimize SNM efficacy were the introduction of the tined-lead electrode and the development of the InterStim II impulse generator (both developed by Medtronic, Inc., Minneapolis, MN). The initiation of the staged implantation technique for sequential evaluation and implantation with the definitive quadripolar electrode completes the treatment algorithm so that an increased responder rate of SNM for all indications can be achieved.

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Section: Implantation Technique: Needle Insertionmentioning

confidence: 99%

How Does Sacral Modulation Work Best? Placement and Programming Techniques to Maximize Efficacy

et al. 2011

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“…Neuromodulation using a sacral nerve stimulator (SNS) has been demonstrated to provide relief to adult patients with BBD [5]. Although the pediatric use of SNS is much less common than in adults, reports published thus far have demonstrated promising results for pediatric patients with both GI and urinary dysfunction [6][7][8][9][10].…”

mentioning

confidence: 99%

Sacral nerve stimulation: a promising therapy for fecal and urinary incontinence and constipation in children

Sulkowski

Nacion

Deans

et al. 2015

Journal of Pediatric Surgery

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“…The InterStim ® system (Medtronic, Minneapolis, MN) is the only commercially available implantable device for SNM. Both one-and two-stage procedures have been described in children [9,15,17]. The one-stage procedure involves the simultaneous implantation of the lead and IPG after eliciting a neurologic response to the stimulation of S3 (Table 1), while the two-stage procedure involves lead implantation and connection to an external pulse generator followed by staged IPG implantation after a successful trial.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Sacral Neuromodulation in Children

Strine

Keenan

King

et al. 2015

Curr Bladder Dysfunct Rep

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Sacral neuromodulation (SNM) has emerged as a treatment option for refractory lower urinary tract and bowel dysfunction in children. SNM is typically reserved for a select population of children who have failed an extended period of behavioral modification, biofeedback, and pharmacologic therapy. The surgical techniques for SNM in children are analogous to those in adults and include both one-and two-stage procedures as well as a peripheral nerve evaluation with the InterStim ® system (Medtronic, Minneapolis, MN). Most studies have observed an improvement in symptoms and quality of life in children undergoing SNM for non-neurogenic and neurogenic lower urinary tract dysfunction but also a much higher reoperative rate than in adults. Further high-quality research is necessary to corroborate the results of earlier studies and to better define the indications for SNM in children.

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Sacral Neuromodulation in Children With Dysfunctional Elimination Syndrome: Description of Incisionless First Stage and Second Stage Without Fluoroscopy

Cited by 26 publications

References 5 publications

How Does Sacral Modulation Work Best? Placement and Programming Techniques to Maximize Efficacy

How Does Sacral Modulation Work Best? Placement and Programming Techniques to Maximize Efficacy

Sacral nerve stimulation: a promising therapy for fecal and urinary incontinence and constipation in children

Sacral Neuromodulation in Children

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