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Sacral Nerve Modulation: Techniques and Indications

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Electrical Stimulation for Pelvic Floor Disorders
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Abstract

Impaired bladder and sphincter function can be altered by various treatment modalities. Electrostimulation is one of the therapeutic options that has been used in urology for many years. The sites where the stimulation is applied have included anal, intravaginal, intravesical, tibial, and transcutaneous locations on a body surface. The success rate of those stimulation techniques varies to some degree, and this may be the reason why most of the stimulation treatment options did not gain wide acceptance. Thanks to the work of Tanagho and Schmidt first and later other urologists, chronic stimulation of the sacral nerves (sacral neuromodulation (SNM) became one of the most accepted stimulation treatment modalities in functional urology today.

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References

  1. Tanagho S (1982) Bladder pacemaker: scientific basis and clinical future. Urology 20:614–619

    Article  PubMed  CAS  Google Scholar 

  2. Tanagho S (1988) Electrical stimulation in the clinical management of the neurogenic bladder. J Urol 140:331–339

    Google Scholar 

  3. Blok BFM, Groen J (2006) Different brain effects during chronic and acute sacral neuromodulation in urge incontinent patients with implanted neurostimulators. BJU Int 98(6):1238–1243

    Article  PubMed  Google Scholar 

  4. Spinelli M, Giardiello G, Arduini A, Van den Hombergh U (2003) New percutaneous technique of sacral nerve stimulation has high initial success rate: preliminary results. Eur Urol 43:70–74

    Article  PubMed  Google Scholar 

  5. Spinelli M, Giardiello G, Gerber M, Arduini A, Van den Hombergh U, Malaguti S (2003) New sacral neuromodulation lead for percutaneous implantation using local anesthesia: description and first experience. J Urol 170:1905–1907

    Article  PubMed  Google Scholar 

  6. Spinelli M, Weil E (2005) New tined lead electrode in sacral neuromodulation: experience from a multicentre European study. World J Urol 23(3):225–229

    Article  PubMed  Google Scholar 

  7. Spinelli M, Sievert K-D (2008) Latest technologic and surgical developments in using InterStimTM Therapy for sacral neuromodulation: impact on treatment success and safety. Eur Urol 54(6):1287–1296

    Article  PubMed  Google Scholar 

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Correspondence to Michele Spinelli .

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Spinelli, M. (2015). Sacral Nerve Modulation: Techniques and Indications. In: Martellucci, J. (eds) Electrical Stimulation for Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-06947-0_10

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  • DOI: https://doi.org/10.1007/978-3-319-06947-0_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06946-3

  • Online ISBN: 978-3-319-06947-0

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