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Concomitant Sacral Neuromodulation and Gynecologic Surgery: A Single-Institution Experience
Neha T Sudol1, Taylor J Brueseke2, Alyssa Lo3
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Kaiser Permanente Orange County, University of California Irvine, Anaheim, CA, USA.
Neuromodulation : Journal of the International Neuromodulation Society
|December 17, 2019
Summary
Concomitant sacral neuromodulation (SNM) and gynecologic surgery is safe, with no serious adverse events reported. This combined approach offers a viable treatment option for women with pelvic floor disorders (PFDs).
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- Sacral Neuromodulation (SNM) is a minimally invasive treatment for pelvic floor disorders (PFDs).
- Women frequently experience multiple PFDs, necessitating comprehensive treatment strategies.
- Limited data exists on the safety of performing SNM concurrently with gynecologic surgery.
Purpose of the Study:
- To evaluate the safety of concomitant sacral neuromodulation (SNM) and gynecologic surgery.
- To determine the rate of adverse events in patients undergoing combined procedures.
- To review anesthetic techniques used in combined SNM and gynecologic surgeries.
Main Methods:
- Retrospective case series of women undergoing SNM between 2012 and 2018.
- Identification of concomitant procedures using CPT codes for SNM and gynecologic surgeries.
- Review of electronic medical records for demographics, adverse events, anesthesia type, and hospital stay.
Main Results:
- 15 out of 200 (7.5%) SNM cases were performed concomitantly with gynecologic surgery.
- The majority of combined surgeries involved implantable pulse generator insertion.
- Three minor adverse events were noted: two urinary tract infections and one urinary retention.
Conclusions:
- Concomitant SNM and gynecologic surgery demonstrated a favorable safety profile.
- No serious adverse events or anesthesia-related complications were observed.
- This study supports the safety and feasibility of performing these procedures together.

