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Stimulation of the Peripheral Nervous System

The Neuromodulation Frontier

Editor(s): Slavin K.V.  (Chicago, Ill.) 
Cover

Sacral Neuromodulation for Genitourinary Problems

Banakhar M.a · Hassouna M.b

Author affiliations

aFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; bDepartment of Urology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ont., Canada

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Slavin KV (ed): Stimulation of the Peripheral Nervous System. The Neuromodulation Frontier. Prog Neurol Surg. Basel, Karger, 2016, vol 29, pp 192-199

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Article / Publication Details

First-Page Preview
Abstract of  

Published online: September 04, 2015
Cover Date: 2016

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 0

ISBN: 978-3-318-02808-9 (Print)
eISBN: 978-3-318-02809-6 (Online)

Abstract

Sacral neuromodulation (SNM) is a minimally invasive therapeutic option for many voiding dysfunction conditions. It is approved by the US FDA for refractory overactive bladder with and without incontinence and nonobstructive retention. Since SNM has shown a favorable response for these approved indications, other therapeutic applications have been proposed for various conditions such as painful bladder syndrome, chronic pelvic pain and neurological voiding dysfunction in both adult and pediatric age groups. SNM therapy with the most commonly used dedicated SNM device (InterStim) involves insertion of electrode(s) in the third and/or fourth sacral foramen next to the nerve root. The electrode is then connected to a battery-operated pulse generator. All patients need to have a test trial period before definitive device insertion. Here we discuss SNM therapy in functional urinary disorders and the technique of device insertion with the potential pitfalls.

© 2016 S. Karger AG, Basel


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Article / Publication Details

First-Page Preview
Abstract of  

Published online: September 04, 2015
Cover Date: 2016

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 0

ISBN: 978-3-318-02808-9 (Print)
eISBN: 978-3-318-02809-6 (Online)


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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