First Stage Sacro Neuro Modulation

Item Number: 36663, 18262

The aim is to alter the neuro-transmission from the Spinal Centre to the Bladder

– 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 neuro-transmission 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 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 tunnelled 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
The Temporary leads will be removed with the external module and the permanent leads may be introduced on the next procedure
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
The permanent battery will be placed in a pocket created under the skin with an extension of prior incision on the subsequent procedure
Generally, a temporary lead is not done for an UAB, as the response may take up to 9-12 months
Leads for pain are 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 weeks 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!