Standardized fluoroscopy-guided implantation technique enables optimal electrode placement in sacral neuromodulation: a cadaver study.

Techniques in Coloproctology
C MüllerS Riss

Abstract

Sacral neuromodulation (SNM) is an established treatment option for patients with faecal incontinence. The location of the stimulating electrode is considered to be essential for treatment success. The purpose of this study was to evaluate the position of SNM electrodes after using a standardized fluoroscopy-guided implantation technique. For this cadaver study, SNM electrodes were implanted bilaterally in 5 lower body specimens. The lower edge of the sacroiliac joint and the medial edge of the sacral foramina were marked using fluoroscopy to draw an 'H' with the crossing points identifying S3. After electrode placement the pelvis was dissected to describe the exact position of the SNM electrodes. The electrodes were inserted at an angle with a median degree measure of 60° (range 50-65°) to the skin, with a median distance of 9 mm (range 0-13 mm) from the S3 marking. All electrodes entered the third sacral foramen. The median distance of the electrodes to the sacral nerve was 0 mm (range 0-3 mm) for the most proximal, 0.5 mm (range 0-5 mm) for the second, 2.25 mm (range 0-11 mm) for the third and 1.75 mm (range 0-16 mm) for the most distant electrode. There was neither a significant difference in the proximity of the electrodes...Continue Reading

References

May 16, 2006·The Journal of Urology·Donna Y DengLarissa V Rodríguez
Jun 6, 2013·Neurourology and Urodynamics·Stephanie A JacobsKaren L Noblett
Sep 27, 2014·International Urogynecology Journal·Nicolette E DeveneauSean L Francis
Jan 22, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y MaedaUNKNOWN European SNS Bowel Study Group
Nov 4, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J Duelund-JakobsenS Buntzen
Nov 16, 2016·Techniques in Coloproctology·A PovoA Rodríguez-Baeza
Sep 7, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Ranjana JairamPhilip van Kerrebroeck
Oct 5, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Klaus E MatzelStefan de Wachter

❮ Previous
Next ❯

Citations

Mar 17, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Christopher Dawoud, Stefan Riss

❮ Previous
Next ❯

Methods Mentioned

BETA
fluorescence imaging
X-ray
dissection

Software Mentioned

SPSS Statistics

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Neuromodulation : Journal of the International Neuromodulation Society
Klaus E MatzelStefan de Wachter
Progress in Neurological Surgery
Mai Banakhar, Magdy M Hassouna
Neuromodulation : Journal of the International Neuromodulation Society
Ranjana JairamPhilip van Kerrebroeck
© 2021 Meta ULC. All rights reserved