Sacro Neuromodulation – Second Stage

When the Temporary leads for SNM have proven to have given an improvement in symptoms a permanent lead placement is done

The aim was to alter the neurotransmission from the Spinal Centre to the Bladder

To alter the neurotransmission from the spinal bladder center to the bladder and treat your overactive bladder.
Refractory overactive bladders with urge urinary incontinence. OAB
Under active Bladders – UAB
Chronic pelvic pain – CPP
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 initial 2-week trial would have provided > 50% improvement in urinary symptoms

Sedation or GA is administered with a local anesthetic
You will be placed prone (on your stomach) with lower back and buttocks exposed
The tined lead that has been placed in the S3 foramina of the sacrum has been connected to an external battery
The external lead connection will be removed, and a larger pocket will be made for the permanent subcutaneous battery and connection
Subcutaneous sutures will be placed, which will dissolve.

Some local discomfort may be experienced.
A 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.
NB! Each person is unique and for this reason, symptoms may vary!

Download Information Sheet

Wes Sacro Neuro Modulation-Second Stage Permanent leads