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Patients with Sacral Neuromodulation: What Are the Factors Affecting Their Therapy Satisfaction?
Mai Banakhar1, Magdy Hassouna2
1Department of Urology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia, Drmaibanakher@hotmail.com.
Urologia Internationalis
|October 2, 2019
Summary
Patient satisfaction with sacral neuromodulation (SNM) therapy is high, but long-term success depends on symptom control. While technological advancements in SNM exist, patient satisfaction is linked to the need for additional medications, not device specifics.
Area of Science:
- Urology
- Neurology
- Medical Technology
Background:
- Sacral neuromodulation (SNM) is a minimally invasive therapy for bladder dysfunction, with recent technological advancements including improved leads, smaller generators, and updated patient programmers.
- Despite these modifications, comprehensive data on how these factors influence long-term patient satisfaction with SNM is limited.
Purpose of the Study:
- To assess long-term patient satisfaction with sacral neuromodulation (SNM) therapy.
- To identify factors, including device parameters and need for adjunctive therapies, that affect patient satisfaction.
Main Methods:
- A cross-sectional study was conducted using a survey questionnaire administered to patients with SNM implants between December 2011 and May 2012.
- The survey collected data on patient demographics, satisfaction levels, use of combined medical therapy, and programmer type and usability.
Main Results:
- Out of 71 surveyed patients (60.7% response rate), 95.8% reported satisfaction with SNM therapy.
- Patient satisfaction was significantly correlated with the need for combined medical therapy for symptom control (r=0.341, p=0.004).
- No significant correlation was found between satisfaction and patient age, duration of therapy, complications, or the type of programmer used.
Conclusions:
- High patient satisfaction with sacral neuromodulation (SNM) therapy is achievable.
- The primary determinant of long-term satisfaction appears to be the requirement for additional medications to manage symptoms effectively, rather than specific device or programmer characteristics.
