Article
Medicine, General & Internal
Lingfeng Meng, Huimin Hou, Peng Zhang, Yinjun Gu, Benkang Shi, Yan Li, Qingwei Wang, Yifei Zhang, Lijuan Ren, Qi Chen, Zhen Yuan, Fan Guo, Dianyou Li, Yunfu Ma, Sheng Dong, Zhijun Liu, Aijia Shang, Bo Li, Wei Xu, Jianwei Lv, Yaoguang Zhang
Summary: This study evaluated the feasibility of using remote programming technology for sacral neuromodulation during the COVID-19 pandemic in China. The results showed that remote programming is important for maintaining the therapeutic effects of electronic sacral stimulator devices and can meet the needs of patients by reducing hospital visits, saving time, and reducing costs.
FRONTIERS IN MEDICINE
(2023)
Article
Obstetrics & Gynecology
Adrian Zegrea, Emilia Ojala, Pia Suvitie, Pirita Varpe, Heikki Huhtinen, Johanna Makela-Kaikkonen, Tero Rautio, Paivi Harkki, Sinikka Salmenkyla, Mika Ukkonen, Maija Lavonius, Tarja Pinta
Summary: This study found that sacral neuromodulation (SNM) may be an effective treatment for refractory chronic pelvic pain in women with endometriosis. Patients experienced pain reduction and improved quality of life after SNM implantation.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2023)
Article
Medicine, General & Internal
Umut Kutukoglu, Turker Altuntas, Bahadir Sahin, Rahmi Onur
Summary: This study aimed to present our experience with sacral neuromodulation (SNM) in a tertiary referral center and evaluate its safety and efficacy. The study included 42 patients with refractory lower urinary tract symptoms, and the clinical success of SNM was examined through various assessments. The results confirmed the effectiveness and safety of SNM in treating voiding dysfunctions.
TURKISH JOURNAL OF MEDICAL SCIENCES
(2023)
Article
Oncology
Xin-Hao Wang, Jia-Wen Wang, Wei Zhang, Xiao-Dong Liu, Ze-Hao Yan, Ling-Feng Meng, Yao-Guang Zhang
Summary: Neurogenic lower urinary tract dysfunction is caused by nervous system lesions and characterized by impaired micturition and urinary incontinence. The goal of treatment is to manage these symptoms, improve quality of life, prevent urinary tract infections, and maintain urinary function. Pelvic floor muscle training and medication are commonly used for treating it.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2023)
Article
Oncology
Xin-Hao Wang, Jia-Wen Wang, Wei Zhang, Xiao-Dong Liu, Ze-Hao Yan, Ling-Feng Meng, Yao-Guang Zhang
Summary: Neurogenic lower urinary tract dysfunction (NLUTD), caused by nervous system lesions, is characterized by impaired micturition and urinary incontinence. Treatment includes pelvic floor muscle training, medication, and the use of a rechargeable sacral neuromodulation (SNM) system for managing symptoms and improving quality of life.
AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH
(2023)
Article
Urology & Nephrology
Douglas Luchristt, Cindy L. Amundsen
Summary: The video aims to overcome common obstacles in fluoroscopic mapping for sacral neuromodulation lead placement. It provides strategies to identify bony landmarks and optimal needle trajectories in both anterior-posterior and lateral fluoroscopic imaging. A series of nonideal imaging examples are provided, along with strategies to overcome these obstacles.
Article
Medicine, Research & Experimental
Sam Tilborghs, Sigrid van de Borne, Donald Vaganee, Gunter De Win, Stefan De Wachter
Summary: This study aimed to assess the neurophysiological basis behind troubleshooting in sacral neuromodulation (SNM). The results showed that monopolar configurations stimulated more motor nerve fibers at lower sensory thresholds, providing more therapeutic efficiency. Swapping polarity or changing the position of the cathode led to different sensory and motor responses, serving as potential reprogramming options.
Article
Engineering, Biomedical
Carl H. Lubba, Zhonghua Ouyang, Nick S. Jones, Tim M. Bruns, Simon R. Schultz
Summary: This study characterizes the encoding of bladder pressure by sensory fibers and explores a decoding paradigm based on information theory. The research demonstrates that different types of bladder neurons offer reliability and high information rates through redundancy and semi-independence.
JOURNAL OF NEURAL ENGINEERING
(2021)
Article
Medicine, Research & Experimental
Ifrah Masood, Qi Chen, Jiayi Li, Zhihui Xu, Xiaoqian Ying, Yiming Wang, Guoqing Chen, Limin Liao
Summary: This retrospective study investigated the effectiveness of sacral neuromodulation (SNM) for neurogenic lower urinary tract dysfunction (NLUTD) in 152 subjects from four medical centers in China. The results showed that urinary retention symptoms were a significant positive predictor, and SNM had higher success rates for frequency-urgency, urinary incontinence, and neurogenic bowel dysfunction compared to chronic urinary retention. Despite not resolving all symptoms, SNM remains a reliable method for treating NLUTD.
Review
Engineering, Biomedical
Sam Tilborghs, Stefan De Wachter
Summary: Sacral Neuromodulation is a minimally invasive treatment for OAB patients that has shown to be safe and effective in the short-, medium-, and long-term. However, high rates of surgical re-intervention and lack of consensus on prognostic factors remain as challenges in maximizing success with this therapy.
EXPERT REVIEW OF MEDICAL DEVICES
(2022)
Article
Urology & Nephrology
Garson Chan, Liang G. Qu, Johan Gani
Summary: The study found that patients with preserved bladder contractility are more likely to respond positively to SNM treatment, compared to those with detrusor acontractility. Younger age was also identified as a predictive factor for SNM response.UDS is crucial for accurately identifying patients with detrusor acontractility and can help in patient selection and pre-operative counseling.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Gastroenterology & Hepatology
Guillaume Meurette, Laurent Siproudhis, Anne-Marie Leroi, Henri Damon, David Urs Josef Keller, Jean-Luc Faucheron
Summary: This study confirms the clinical effectiveness, safety, and positive effect of sacral neuromodulation with the InterStim(TM) system for the treatment of faecal incontinence, showing significant improvements in quality of life and symptoms with high patient satisfaction. Main device-related adverse events include the need for reprogramming, infection, and surgical revision.
COLORECTAL DISEASE
(2021)
Article
Geriatrics & Gerontology
D. O. R. E. E. N. MCCLURG, A. N. D. R. E. W. ELDERS, S. U. Z. A. N. N. E. HAGEN, H. E. L. E. N. MASON, J. O. BOOTH, ANNE-LOUISE CUNNINGTON, R. I. C. H. A. R. D. WALKER, K. A. T. H. E. R. I. N. E. DEANE, D. A. N. I. E. L. L. E. HARARI, J. A. L. E. S. H. PANICKER, S. U. S. A. N. STRATTON, J. A. C. L. Y. N. MCARTHUR, C. E. R. SELLERS, M. A. R. I. S. S. A. COLLINS
Summary: Non-motor symptoms such as bladder dysfunction are common in people with Parkinson's disease, and the use of transcutaneous tibial nerve stimulation (TTNS) to treat bladder dysfunction may be clinically and cost-effective.
Article
Urology & Nephrology
Bradley C. Gill, Sonia Thomas, Lindsey Barden, J. Eric Jelovsek, Isuzu Meyer, Christopher Chermansky, Yuko M. Komesu, Shawn Menefee, Deborah Myers, Ariana Smith, Donna Mazloomdoost, Cindy L. Amundsen, NICHD Pelvic Floor Disorders Network
Summary: The study aimed to determine the role of intraoperative data in predicting the outcomes of sacral neuromodulation for urgency urinary incontinence. The analysis of intraoperative details from the ROSETTA trial showed that intraoperative data had limited utility in predicting both acute and long-term outcomes. However, the position of the implant lead in relation to the trajectory of the sacral nerve root appeared to be important.
JOURNAL OF UROLOGY
(2023)
Review
Medicine, General & Internal
Ximeng Wang, Jiande D. Z. Chen
Summary: The systematic review aims to introduce the clinical applications and potential mechanisms of sacral nerve stimulation (SNS) for various gastrointestinal diseases. The results showed that SNS is highly effective in treating fecal incontinence, but it is ineffective for constipation. Further research is needed to explore the potential applications of SNS for irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).
JOURNAL OF TRANSLATIONAL INTERNAL MEDICINE
(2023)