The role of electrodiagnostic techniques in the reprogramming of patients with a delayed suboptimal response to sacral nerve stimulation

Sacral neuromodulation is an approved therapy for frequency, urgency, urge incontinence and non-obstructive urinary retention. There are several recent reports on a subgroup of patients who are 'Iate failures' to therapy. This descriptive study aimed to determine whether the use of electro...

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Veröffentlicht in:International Urogynecology Journal 2003-06, Vol.14 (2), p.98-103
1. Verfasser: McLennan, Mary T
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creator McLennan, Mary T
description Sacral neuromodulation is an approved therapy for frequency, urgency, urge incontinence and non-obstructive urinary retention. There are several recent reports on a subgroup of patients who are 'Iate failures' to therapy. This descriptive study aimed to determine whether the use of electrodiagnosis during reprogramming could provide objective data on device function in these patients and help direct therapy. We employed electrodiagnostic techniques to differentiate between those patients who could be reprogrammed in the office to a site of maximal response, those that required reoperation, and those in whom reoperation was unlikely to be successful. Our findings suggest that electrodiagnostic monitoring may help to direct future therapy in this group of patients who currently present a management challenge.
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source MEDLINE; SpringerLink Journals
subjects Action Potentials
Adult
Diagnosis, Differential
Electric Stimulation Therapy
Electrodes, Implanted
Electrophysiology
Equipment Failure
Excretory system
Female
Humans
Lumbosacral Plexus - physiology
Medical research
Middle Aged
Monitoring, Physiologic - methods
Reoperation
Treatment Outcome
Urinary Incontinence - diagnosis
Urinary Incontinence - therapy
Urinary Retention - diagnosis
Urinary Retention - therapy
title The role of electrodiagnostic techniques in the reprogramming of patients with a delayed suboptimal response to sacral nerve stimulation
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