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