Use of Sacral Neuromodulation in the Management of ... - SUNA
Use of Sacral Neuromodulation in the Management of ... - SUNA Use of Sacral Neuromodulation in the Management of ... - SUNA
SNS Theory of Mechanism •Urge incontinence: Modulation enables more normal detrusor muscle behavior •Urgency-frequency: Modulation helps reduce detrusor and pelvic floor muscle spasticity
Pharmacotherapy vs. SNS Therapy Pharmacotherapy: Mechanism of Action • Targets efferent effects • Poor patient compliance related to the side effects (i.e. dry mouth) SNS Therapy: Mechanism of Action •Targets afferent effects & modulation of the pelvic floor •General lack of side effects known associated with drug therapy InterStim Therapy • Should be considered after more conservative treatment options have failed and before surgical options are considered
- Page 1 and 2: Use of Sacral Neuromodulation in th
- Page 3 and 4: Program Goal To discuss the prevale
- Page 5 and 6: Voiding Dysfunction: A Hidden Probl
- Page 7 and 8: Filling Phase • Automatic Actions
- Page 9 and 10: Abnormal Micturition Voiding dysfun
- Page 11 and 12: Overview Sacral Nerve Stimulation (
- Page 13: SNS - Therapy SNS utilizes mild ele
- Page 17 and 18: 5-Year Clinical Efficacy Urge Incon
- Page 19 and 20: 5-Year Clinical Efficacy Urinary Re
- Page 21 and 22: Treatment Algorithm For Urinary Urg
- Page 23 and 24: Other Issues Influencing Patient Se
- Page 25 and 26: Test & Implant Procedures • 1 st
- Page 27 and 28: Voiding Diary Documentation 3 days
- Page 29 and 30: 2 nd Stage Implant Procedure 2 nd S
- Page 31 and 32: Benefits of SNS Potential Adverse E
- Page 33 and 34: Case Studies Retention with frequen
- Page 35 and 36: Voiding Diary • Pt voids 2-4 oz q
- Page 37 and 38: Strains to Void
- Page 39 and 40: Urodynamic Results • Normal stora
- Page 41 and 42: Post InterStim Implant • Doing ex
- Page 43 and 44: Utilization of Multiple Modalities
- Page 45 and 46: Management of Care • Life choices
- Page 47 and 48: Summary • SNS is an effective tre
- Page 49 and 50: Revision for SUNA Oct 2010 - Lisa Z
SNS Theory <strong>of</strong> Mechanism<br />
•Urge <strong>in</strong>cont<strong>in</strong>ence:<br />
Modulation enables more<br />
normal detrusor muscle<br />
behavior<br />
•Urgency-frequency:<br />
Modulation helps reduce<br />
detrusor and pelvic floor<br />
muscle spasticity
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