Peripheral Nerve Evaluation

  • Karen Noblett
  • Neha Talreja Sudol


Peripheral nerve evaluation (PNE) is an important initial step in assessing patient eligibility for permanent implantation of the sacral nerve stimulation system. PNE has been used since 1997 for the initial test phase and maintains many advantages. Advances in lead wire technology have increased the frequency of the initial test phase being performed in the operating room; however, this is an expensive and labor intensive technique. PNE is an office-based procedure, which is considered to be relatively easy for providers, as well as fast and safe for patients. In this chapter we discuss the historical evolution of PNE, the technique and tools to aid in correct placement, and compare its use to placement of the tined lead wire in the operating room.


Peripheral nerve evaluation (PNE) Sacral neuromodulation (SNM) Test stimulation Urinary urgency incontinence (UUI) Urinary retention (UR) Overactive ladder (OAB) InterStim 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Division Female Pelvic Medicine and Reconstructive SurgeryUniversity of California, IrvineOrangeUSA

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