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
Emptying Phase • Automatic Actions: – Voiding reflex occurs – Nerves in spinal cord signal detrusor muscles to contract and internal sphincter to relax to allow urine to flow from bladder into urethra • Conscious Action: – Once urine enters urethra, you consciously relax the external sphincter to allow urine to pass through the urethra
Abnormal Micturition Voiding dysfunction occurs when a patient’s normal micturition reflexes are altered because of a neurological disease, infection, inflammation, or anatomical abnormalities in voluntary voiding reflexes.
- 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: Filling Phase • Automatic Actions
- 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
Empty<strong>in</strong>g Phase<br />
• Automatic Actions:<br />
– Void<strong>in</strong>g reflex occurs<br />
– Nerves <strong>in</strong> sp<strong>in</strong>al cord signal detrusor<br />
muscles to contract and <strong>in</strong>ternal<br />
sph<strong>in</strong>cter to relax to allow ur<strong>in</strong>e to<br />
flow from bladder <strong>in</strong>to urethra<br />
• Conscious Action:<br />
– Once ur<strong>in</strong>e enters urethra, you<br />
consciously relax <strong>the</strong> external sph<strong>in</strong>cter<br />
to allow ur<strong>in</strong>e to pass through <strong>the</strong> urethra
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