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Sacral nerve stimulation--hidden costs (uncovered).

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A significant number of patients undergoing sacral nerve stimulation (SNS) for incontinence and constipation require unplanned surgical revisions, primarily due to lead issues. These revisions add unexpected costs to treatment services.

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Area of Science:

  • Urology
  • Gastroenterology
  • Neurosurgery

Background:

  • Sacral nerve stimulation (SNS) is a treatment for faecal incontinence and constipation.
  • Surgical revision rates and reasons for SNS therapy are not well-documented.

Purpose of the Study:

  • To determine the occurrence of surgical revision in patients treated with SNS.
  • To identify the types of procedures and indications for surgery.

Main Methods:

  • Retrospective review of 125 patients who underwent permanent SNS therapy between 2002 and 2014.
  • Analysis of 51 unplanned surgical procedures in 36 patients.

Main Results:

  • 28.8% of patients required surgical intervention post-implantation.
  • Lead-related problems (58.8%) and device issues (25.5%) were primary causes for revision.
  • Indications included lead damage, pain, loss of efficacy, and infection.

Conclusions:

  • A considerable proportion of patients require surgical revision after SNS implantation.
  • Unplanned surgical procedures represent a significant, unexpected financial burden on healthcare services.