Abstract
Peripheral nerve evaluation (PNE) is an important initial step in assessing patient eligibility for permanent implantation of the sacral nerve stimulation system. PNE has been used since 1997 for the initial test phase and maintains many advantages. Advances in lead wire technology have increased the frequency of the initial test phase being performed in the operating room; however, this is an expensive and labor intensive technique. PNE is an office-based procedure, which is considered to be relatively easy for providers, as well as fast and safe for patients. In this chapter we discuss the historical evolution of PNE, the technique and tools to aid in correct placement, and compare its use to placement of the tined lead wire in the operating room.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
InterStim® sales analysis of 2013.
Gormley EA, Lightner DJ, Faraday M, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015;193:1572–80.
Paquette IM, Varma MG, Kaiser AM, et al. The American Society of Colon and Rectal Surgeons’ Clinical Practice guideline for the treatment of fecal incontinence. Dis Colon Rectum. 2015;58(7):623–36.
El-Azab A, Siegel S. Specific tips for general controversies in sacral neuromodulation. Curr Urol Rep. 2016;17:79.
Cohen B, Tunuguntla H, Gousse A. Predictors of success for the first stage neuromodulation: motor versus sensory response. J Urol. 2006;175:2178–81.
Janknegt R, Weil E, Eerdmans P. Improving neuromodulation technique for refractory voiding dysfunctions: two stage implant. Adult Urol. 1997;49:358–62.
Rodine P, Falkner P, Brelje T, et al. Sacral foramen localization for needle placement: diagnostic ultrasound vs. fluoroscopy. Neurourol Urodyn. 2015;34(S1):S90.
Siegel S, Noblett K, Mangel J, et al. Results of a prospective, randomized, multicenter study evaluating sacral neuromodulation with InterStim therapy compared to standard medical therapy at 6-months in subjects with mild symptoms of overactive bladder. Neurourol Urodyn. 2015;34:224–30.
Pannek J, Grigoleit U, Hinkel A. Bacterial contamination of test stimulation leads during percutaneous nerve stimulation. J Urol. June 2005;65:1096–8.
Siegel S, Catanzaro F, Dijkema H et al. Long-term results of a multicenter study on sacral nerve stimulation for treatment of urinary urge incontinence, urgency-frequency, and retention. Urology. 2000;56(Suppl. 6A).
Bosch J, Groen J. Sacral nerve neuromodulation in the treatment of patients with refractory motor urge incontinence: long-term results of a prospective longitudinal study. J Urol. 2000;163:1219.
Spinelli M, Giardiello G, Gerber M, et al. New sacral neuromodulation lead for percutaneous implantation using local anesthesia: description and first experience. J Urol. 2003;170:1905–190.
Van Kerrebroek P, Voskuilen A, Heesakkers J, et al. Results of sacral neuromodulation therapy for urinary voiding dysfunction: outcomes of a prospective, worldwide clinical study. J Urol. 2007;178:2029–34.
Auterio S, Hallas N, Betts N, et al. The cost-effectiveness of sacral nerve stimulation (SNS) for the treatment of idiopathic medically refractory overactive bladder (wet) in the UK. BJU Int. 2015;116(6):945–54.
Amend B, Khalil M, Kessler T, et al. How does sacral modulation work best? Placement and programming techniques to maximize efficacy. Curr Urol Rep. 2011;12(5):327–35.
Sievert KD, Nagele U, Pannek J, et al. Subcutaneous tunneling of the temporary testing electrode significantly improves the success rate of subchronic sacral nerve modulation. World J Urol. 2007;25:607–12.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Noblett, K., Sudol, N.T. (2018). Peripheral Nerve Evaluation. In: Gilleran, J., Alpert, S. (eds) Adult and Pediatric Neuromodulation . Springer, Cham. https://doi.org/10.1007/978-3-319-73266-4_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-73266-4_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-73265-7
Online ISBN: 978-3-319-73266-4
eBook Packages: MedicineMedicine (R0)