Sacro Neuromodulation – First Stage

The aim is to alter the neurotransmission from the Spinal Centre to the Bladder via the S3 nerve

To alter the neurotransmission from the spinal centre to the bladder:
Refractory overactive bladders with urge incontinence (OAB)
Underactive bladders (UAB)
Chronic pelvic pain
Fecal incontinence
Causative factors
- Undetermined
- Neurogenic causes such as Multiple Sclerosis
When at least 2 anticholinergic drugs or B-adrenergic drugs have failed to have provided an improvement in symptoms of OAB
An alternative for ISC or permanent IDC for UAB
The aim was to alter the neurotransmission from the Spinal Centre to the Bladder
This will be a trial to see if this works for you

Sedation is administered
You will be placed prone (on your stomach) with lower back and buttocks exposed
A needle will be placed in the S3 foramina of the sacrum and connected to an electrical current with increased frequency until the correct nerve response is obtained
The correct response would be puckering of the anal sphincter as well as the movement of the big toe
The lead is then tunneled under the skin
The lead is attached to an external modulator and battery.
Pts with UAB may have permanent lead placement from the start, as effects may take up to 12 months to occur
If you have an OAB: you should experience a marked improvement over the previous 2 weeks
A minimal requirement of at least 50% improvement in urinary symptoms is 1required to progress to a full implant
As routine in my practice, the permanent lead is used as the temporary, therefore allowing for the exact same results as with the trial period
It will be connected to an external battery
Generally, a temporary lead is not done for an UAB, as the response may take up to 9-12 months
Leads for pain can be placed bilaterally and in multiple sites

Some local discomfort may be experienced.
Nerve stimulator may provide abnormal sensations, which your body adjusts to.
A representative from Medtronic will be in contact with you to check on your settings and responses.
If after a 2-week period of the temporary leads have shown an improved in your bladder, consideration will be given to a permanent implant
If no response is obtained the leads may be removed.
NB! Each person is unique and for this reason symptoms may vary!

Download Information Sheet

Wes Sacro Neuro Modulation-First Stage Temporary Leads