Use of Sacral Neuromodulation in the Management of ... - SUNA

More documents

Recommendations

Info

Learning Objectives: After completing this program you will be able to: • Discuss the prevalence of urinary urgency-frequency, urinary urge incontinence and/or urinary retention. • Define sacral nerve stimulation (SNS) • Discuss the treatment algorithm used to treat urinary urgencyfrequency, urge incontinence and retention. • Discuss the theory of mechanism of action of sacral nerve stimulation. • Explain the basic steps for the test stimulation and implant procedures used for InterStim Therapy • Identify the implantable and external equipment used for sacral nerve stimulation. • State the FDA approved indications for SNS. • Identify patients appropriate for SNS when provided a case scenarios.
Voiding Dysfunction: A Hidden Problem • Patients are embarrassed to talk to healthcare providers about voiding problems • Many providers typically do not ask patients about voiding problems • Quality of life issues can include: Anxiety, depression, infections, nocturia, odors, embarrassment, diet restrictions, discomfort / pain, limitations of social activities and employment opportunities, and cost of protective garments
Page 1 and 2: Use of Sacral Neuromodulation in th
Page 3: Program Goal To discuss the prevale
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 and 14: SNS - Therapy SNS utilizes mild ele
Page 15 and 16: Pharmacotherapy vs. SNS Therapy Pha
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

Use of Sacral Neuromodulation in the Management of ... - SUNA

Create successful ePaper yourself

Delete template?

Save as template?