Caudal Neuromodulation with the Transforaminal Sacral Electrode (InterStim(R)): Experience in a Pain Center Regarding 12 Implants
The Korean Journal of Pain
;
: 23-28, 2016.
Article
in English
| WPRIM
| ID: wpr-48906
ABSTRACT
BACKGROUND:
Sacral nerve stimulation is a therapeutic option with demonstrated efficacy for conditions presenting with perineal pain caused by different etiologies. We aimed to assess whether a sacral electrode (InterStim(R), Medtronic, Minneapolis, MN, USA) inserted through the caudal pathway is able to offer an acceptable level of sacral stimulation and rate of catheter migration.METHODS:
We present 12 patients with pelvic pain who received sacral neuromodulation via the sacral hiatus with the InterStim electrode. We evaluated patient satisfaction as well as migration and removal of the electrode, if necessary.RESULTS:
Our experience included 12 patients, 10 women and two men, with a mean age of 60 years. In eight of the 12 patients, the initial therapy was effective, and the final system implantation was performed. During subsequent follow-up, patient satisfaction was good. To date, there have been no cases of electrode displacement or migration.CONCLUSIONS:
The caudal insertion of the InterStim electrode, with its own fixation system, and initially designed for transsacral insertion, appears in our experience to be a satisfactory option which can minimize electrode displacements, achieving similar results in therapeutic efficacy and causing no difficulties in removal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perineum
/
Sacrococcygeal Region
/
Sacrum
/
Follow-Up Studies
/
Patient Satisfaction
/
Pelvic Pain
/
Pain Clinics
/
Electrodes
/
Catheters
/
Implantable Neurostimulators
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Pain
Year:
2016
Type:
Article
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