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

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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

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

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