Trouble Shooting Sacral Neuromodulation-Trouble Shooting Sacral Neuromodulation

Video Transcription

Video Summary

Dr. Steven Siegel presented a webinar titled "Troubleshooting Safer Neuromodulation." The webinar focused on the potential problems and strategies for troubleshooting neuromodulation procedures, particularly related to urinary incontinence and voiding dysfunction. Dr. Siegel provided an overview of the risks and complications associated with the procedure and discussed approaches to patient selection, implant technique, lead placement, and device positioning to minimize these risks. He also highlighted the importance of adequate infection prevention measures and the use of appropriate antibiotic prophylaxis. In addition, Dr. Siegel addressed common issues that may arise during or after the procedure, such as wound complications, declining efficacy over time, painful stimulation, and the need to manage patients' situations during pregnancy. He emphasized the significance of optimal lead placement, including location, depth, and angulation, and the importance of considering patient-specific factors when troubleshooting and revising leads. Dr. Siegel also discussed the potential use of Botox as an adjunct or alternative treatment in certain cases. Throughout the webinar, Dr. Siegel shared his own experiences and observations as a specialist in urinary incontinence and continence care.

Asset Subtitle

Presented by: Steven Siegel, MD, FPMRS

Asset Caption

Date: June 10, 2020

Keywords

Troubleshooting Safer Neuromodulation

urinary incontinence

voiding dysfunction

risks and complications

patient selection

lead placement

device positioning