Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Predictive factors for sacral neuromodulation in chronic lower urinary tract dysfunction.

W A Scheepens1, M M G J Jongen, F H M Nieman

  • 1Department of Urology, University Hospital Maastricht, Maastricht, The Netherlands.

Urology
|October 19, 2002
PubMed
Summary

Percutaneous nerve evaluation (PNE) success for sacral neuromodulation can be predicted by factors like intervertebral disk prolapse and duration of complaints. However, PNE remains essential for objectively assessing implant success in patients with refractory bladder conditions.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Long-term outcomes of a cemented cruciate-retaining total knee arthroplasty: a 10-year follow-up study.

The Knee·2026
Same author

The struggle of dealing with uncertainty: a qualitative, phenomenological study about how Dutch novice physical therapists experience their transition from student to professional.

Annals of medicine·2024
Same author

Identification of Predictors for Progression of Scoliosis in Rett Syndrome.

Developmental neurorehabilitation·2024
Same author

Comparing radiation dose of image-guided techniques in lumbar fusion surgery with pedicle screw insertion; A systematic review.

North American Spine Society journal·2023
Same author

A framework exploring the therapeutic alliance between elite athletes and physiotherapists: a qualitative study.

BMC sports science, medicine & rehabilitation·2021
Same author

Reliability and Clinical Usefulness of Current Classifications in Traumatic Thoracolumbar Fractures: A Systematic Review of the Literature.

International journal of spine surgery·2021

Area of Science:

  • Urology
  • Neurology
  • Medical Devices

Background:

  • Sacral neuromodulation (SNM) offers a treatment option for refractory lower urinary tract symptoms.
  • Accurate patient selection for SNM is crucial for successful outcomes.
  • Percutaneous nerve evaluation (PNE) serves as a preimplantation test to identify suitable candidates.

Purpose of the Study:

  • To identify clinical parameters that improve the prediction of success for PNE.
  • To enhance the selection process for patients undergoing SNM.

Main Methods:

  • A total of 211 patients with refractory urge incontinence, urgency-frequency syndrome, or urinary retention underwent PNE.
  • Patient data including demographics, medical history, and urologic investigations were collected.

Related Experiment Videos

  • Logistic regression analysis was used to identify predictive factors for PNE success, defined as >50% improvement in voiding parameters.

    • Main Results:

    • PNE was positive in 40.3% and negative in 49.8% of patients.
    • Intervertebral disk prolapse, duration of complaints, neurogenic bladder dysfunction, and urge incontinence were identified as significant predictors of PNE success.
    • Electrode migration or unassessable tests affected a small percentage of patients.

    Conclusions:

    • Specific clinical factors can aid in predicting PNE outcomes for SNM.
    • Despite predictive factors, PNE remains indispensable for objective assessment of potential SNM implant success.
    • Improved patient selection through PNE can optimize SNM treatment efficacy.