New tined lead electrode in sacral neuromodulation: experience from a multicentre European study

World Journal of Urology volume 23, pages225–229(2005)Cite this article

Abstract

The use of a new tined lead electrode for sacral neuromodulation (SNS) was evaluated in a European study including 127 patients with chronic voiding dysfunction. The tined lead can be implanted during the first stage of the SNS procedure, which makes a longer test period possible before implanting the pulse generator in a second stage. Implantation of the tined lead was performed under local anaesthesia in 89% of patients. Screening lasted on average 30 days. Screening with the tined lead was considered successful by the physicians in 77% of patients (n=72). In 74% of first stage patients (n=70), at least 50% improvement in the main symptoms versus baseline was obtained. This was sustained for up to 6 weeks. All of these patients received the pulse generator in a second stage. The outcome of this study supports the use of the tined lead electrode as a screening tool in SNS therapy.

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Affiliations

  1. Unità spinale Unipolare, Azienda Ospedale Niguarda Cà Granda, P.zza Ospedale Maggiore 3, 20162 Milan, Italy

    Michele Spinelli

  2. Department of Urology, University Hospital Maastricht, The Netherlands

    Ernest Weil

  3. Department of Urology, Santa Maria Degli Angeli Hospital, Pordenone, Italy

    Edoardo Ostardo

  4. Department of Neurourology, Careggi Hospital, Firenze, Italy

    Giulio Del Popolo

  5. Department of Urology, La Fe University Hospital, Valencia, Spain

    José L. Ruiz-Cerdá

  6. Department of Neurology, University Hospital, Innsbruck, Austria

    Gustav Kiss

  7. Department of Urology, University Hospital, Nijmegen, The Netherlands

    John Heesakkers

Authors
  1. Michele Spinelli
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  2. Ernest Weil
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  3. Edoardo Ostardo
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  4. Giulio Del Popolo
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  5. José L. Ruiz-Cerdá
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  6. Gustav Kiss
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  7. John Heesakkers
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Correspondence to Michele Spinelli.

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Spinelli, M., Weil, E., Ostardo, E. et al. New tined lead electrode in sacral neuromodulation: experience from a multicentre European study. World J Urol 23, 225–229 (2005). https://doi.org/10.1007/s00345-005-0502-8

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Keywords

  • Lower urinary tract dysfunctions
  • Sacral neuromodulation
  • Minimally invasive
  • Overactive bladder
  • Urinary retention
  • Tined lead