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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Sacral nerve stimulation.

Stig Norderval1, Mona Rydningen, Rolv-Ole Lindsetmo

  • 1Department of Gastroenterological Surgery andNorwegian Continence and Pelvic Floor Centre, University Hospital of North Norway, Norway. stig.norderval@unn.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 23, 2011
PubMed
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Sacral nerve stimulation offers an effective treatment for pelvic floor disorders like incontinence and retention. Consistent follow-up is crucial for maintaining optimal long-term results in patients.

Area of Science:

  • Urology
  • Gastroenterology
  • Neurology

Background:

  • Sacral nerve stimulation (SNS) involves electrical stimulation of sacral nerve roots via an electrode and pacemaker.
  • SNS is an emerging treatment for urinary retention, urinary incontinence, anal incontinence, and constipation.
  • Investigational uses for SNS extend to other medical conditions.

Purpose of the Study:

  • To present the methodology and treatment outcomes of sacral nerve stimulation.
  • To evaluate SNS efficacy across various indications based on clinical experience and literature review.

Main Methods:

  • A temporary external pacemaker is used for 3-30 days to assess treatment response.
  • Patient outcomes are evaluated based on symptom improvement (≥50% reduction).

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  • Data is compiled from authors' experience and a non-systematic PubMed search.
  • Main Results:

    • Positive test responses range from 43% (constipation) to 90% (anal incontinence).
    • Sustained improvement is observed in 50-90% of patients with a positive test.
    • 50-90% of patients require ongoing follow-up for optimal results, with pacemaker longevity of 3-10 years.

    Conclusions:

    • Sacral nerve stimulation demonstrates long-term efficacy for pelvic floor dysfunctions, particularly anal incontinence and non-obstructive urinary retention.
    • Close patient follow-up is essential for maintaining therapeutic benefits.
    • SNS is a viable option for selected patients with refractory pelvic floor disorders.