Temporary sacral neuromodulation under local anaesthesia using new anatomical reference points

Abstract

Temporary sacral neuromodulation can be reliably performed in a more practical, less expensive outpatient setting under local anaesthesia without adversely influencing test outcome.

Outcomes of Sacral Neurostimulation Lead Reimplantation for Fecal Incontinence

“…the remaining patients had replacement of the lead alone. in assessing the baseline characteristics of each group, the median CCf-fis was found to be significantly higher preoperatively in the reimplantation group as compared with the index implantation controls (index implantation: 17 (range, [8][9][10][11][12][13][14][15][16][17][18][19][20]; reimplantation: 19 (range, [12][13][14][15][16][17][18][19][20]; p = 0.002). in addition, the postoperative median CCf-fis was found to be significantly higher in the reimplantation group (index implantation: 7 (range, 0-20); reimplantation: 12 (range, 3-20) p = 0.028).…”

“…[15][16][17] Briefly, during stage 1, patients are placed in the prone position and monitored anesthesia care is performed with conscious sedation. after the use of local anesthesia, anatomical landmarks are recognized and marked.…”

Sacral neuromodulation for persistent faecal incontinence after laparoscopic ventral rectopexy for high‐grade internal rectal prolapse

“…Characteristics of the 49 included patients are shown in Table 2. The median duration of the interval between the preoperative and postoperative mailing and the SNM was 11 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) months.…”

“…Our operative technique for temporary and permanent SNM under local anaesthesia has been previously described [13,14]. All patients in our institution underwent a percutaneous nerve evaluation (PNE) using a temporary test stimulation lead (Medtronic model 3057 test stimulation lead).…”

Successful sacral nerve modulation despite migration of tined lead

“…When the procedure is performed under local anaesthesia this gives the added bonus of patient feedback regarding sensory responses that confirm the correct positioning of the lead and help select the appropriate foramen. [6,7] Isolated sensory responses don't necessarily mean that permanent implantation will fail. Cohen et al reported that motoric responses are superior to sensory responses in predicting clinical success so they recommend to perform permanent implantation solely when motoric responses were elicited.…”