51. Sacral neuromodulation therapy for urinary and defecatory disorders: experience in a Latin American public hospital
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Marcelo Mass-Lindenbaum, Diego Arévalo-Vega, Isidora Aleuanlli, Fernanda Santis-Moya, Andrea Maluenda, Eitan Dines, Miriam Cohen-Vaizer, Álvaro Saavedra, Trinidad Raby, Bernardita Blumel, Rodrigo Cuevas, Simone Pohlhammer, Gabriela Alarcon, Marco Arellano Albornoz, and Javier Pizarro-Berdichevsky
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Sacral neuromodulation ,Urinary bladder ,overactive ,Non-obstructive urinary retention ,Fecal incontinence ,Incontinence ,Electric stimulation therapy ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Objective: To show the experience of a Latin American public hospital, with SNM in the management of either OAB, NOUR or FI, reporting feasibility, short to medium-term success rates, and complications. Methods: A retrospective cohort was conducted using data collected prospectively from patients with urogynecological conditions and referred from colorectal surgery and urology services between 2015 and 2022. Results: Advanced or basic trial phases were performed on 35 patients, 33 (94%) of which were successful and opted to move on Implantable Pulse Generator (GG) implantation. The average follow-up time after definitive implantation was 82 months (SD 59). Of the 33 patients undergoing, 27 (81%)reported an improvement of 50% or more in their symptoms at last follow-up. Moreover, 30 patients (90%) with a definitive implant reported subjective improvement, with an average PGI-I "much better" and 9 of them reporting to be "excellent" on PGI-I. Conclusion: SNM is a feasible and effective treatment for pelvic floor dysfunction. Its implementation requires highly trained groups and innovative leadership. At a nation-wide level, greater diffusion of this therapy among professionals is needed to achieve timely referral of patients who require it.
- Published
- 2024
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