PFD Week 2016-Optimizing Surgical Techniques for Sacral Neuromodulation

Optimizing Surgical Techniques for Sacral Neuromodulation

Video Transcription

Video Summary

In this video, the techniques for optimizing the efficacy of sacral neuromodulation in treating urge incontinence and voiding dysfunction are presented. The key components identified for enhancing patient outcomes include efficient needle insertion, optimizing patient response during testing, and minimizing postoperative complications. The procedures discussed include expedited needle placement through correct patient positioning and the use of fluoroscopy, proper setup of the operative bed, and retraction of the buttocks to visualize anal bellows. The use of conscious sedation and effective communication during testing is emphasized. The importance of sensory testing along the tined sacral lead electrode region and evaluating the required amplitude for stimulation is highlighted. Strategies for reducing complications include careful site selection for generator implantation, minimizing trauma during tined lead placement, and antimicrobial prophylaxis with barrier dressings. The video concludes by discussing the placement of the generator and closure of the incision sites.

Asset Subtitle

John Judd, MD

Keywords

sacral neuromodulation

urge incontinence

voiding dysfunction

needle insertion

postoperative complications