Technical and functional outcome after sacral neuromodulation using the "H" technique.
Wien Klin Wochenschr
; 135(15-16): 399-405, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-36472709
ABSTRACT
BACKGROUND:
Sacral neuromodulation (SNM) is a widely accepted treatment for pelvic floor disorders, including constipation and fecal incontinence (FI). In 2017, a standardized electrode placement method, the H technique, was introduced to minimize failure rates and improve clinical outcomes. We aimed to investigate the technical feasibility and functional outcome of the procedure.METHODS:
In this prospective study, we evaluated the first 50 patients who underwent SNM according to the H technique between 2017 and 2020 at a tertiary care hospital. Patient demographic and clinical data were collected, and the impact of various factors on patients' postoperative quality of life (QoL) was assessed after a follow-up of 40 months. Functional outcome was monitored prospectively using a standardized questionnaire.RESULTS:
Of 50 patients, 36 (72%) reported greater than 50% symptom relief and received a permanent implant (95% CI 58.3-82.5). We observed 75% success in relieving FI (95% CI 58.9-86.3) and 64% in constipation (95% CI 38.8-83.7). Complication occurred in five (10%) patients. Preoperative vs. postoperative physical and psychological QoL, Vaizey score, and obstructed defecation syndrome (ODS) scores revealed significant improvements (all pâ¯< 0.01). Male gender was significantly associated with postoperative complications (pâ¯= 0.035).CONCLUSION:
We provide evidence for the technical feasibility and efficacy of the SNM implantation using the H technique. The medium-term results are promising for patients with FI and constipation. Male patients and those with a BMIâ¯> 25 are more prone to perioperative complications.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Terapia por Estimulación Eléctrica
/
Incontinencia Fecal
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Wien Klin Wochenschr
Año:
2023
Tipo del documento:
Article
País de afiliación:
Austria