Title: Sacral neuromodulation : Evaluation of the leading reasons for failure

Biography:

Farzaneh Sharifiadagh is currently working as Professor at Labbafinejad hospital, Iran

Abstract

Sacral neuromodulation(SNM) is a new approach in the treatment of Bladder Bowel dysfunction(BBD),as well as neuropathic lower urinary tract disorders.The aim of this study is to evaluate the  non- technical reasons Of failure for SNM. The document of all adult patients who had undergone stage one(test phase)or stage two(Implantation of pulse Generator and tined lead) in our center were reviewed.All reasons related to technical problems were excluded and other documented factors evaluated.

Results:

360 documents for stage one (test phase),and 72 documents for stage two(implantation of pulse Generator) were evaluated.For stage one the most common reasons were temporary wire displacement (54/360),Acontractile detrusor(20/360),psychologic problems(severe anxiety,depression (19/360) and congenital anomalies of lumbosacral vertebra(Myelomeningocele,partial sacral agenesis). For stage two the most common reasons for failure were: psychologic problems(5/72), HTlV1-2 infection (2/72),Addiction(1/72),lead migration(1/72),IPG infection(1/72)