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Computer-Assisted Lead Placement for Peripheral Nerve Evaluation Test in a Candidate for Sacral Neuromodulation.
Gianluca Sampogna1,2, Emanuele Montanari2, Michele Spinelli1
1Unit of Neurourology, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.
International Neurourology Journal
|January 6, 2021
Summary
Computer-assisted lead placement (CALP) offers a safe and effective method for peripheral nerve evaluation (PNE) tests in chronic pelvic pain patients. This technique precisely guided lead placement, improving symptoms and paving the way for sacral neuromodulation (SNM).
Area of Science:
- Neurology
- Pain Management
- Medical Technology
Background:
- Chronic pelvic pain affects many women and can be debilitating.
- Sacral neuromodulation (SNM) is a treatment option for chronic pelvic pain.
- Accurate lead placement is crucial for the efficacy of SNM.
Observation:
- A 55-year-old woman with chronic pelvic pain, a candidate for SNM, underwent a peripheral nerve evaluation (PNE) test.
- Initial PNE lead placement was suboptimal, leading to test failure.
- Computer-assisted lead placement (CALP) using a surgical navigation system (SNS) with electromagnetic tracking was employed for precise S3 nerve root targeting.
Findings:
- CALP enabled accurate and safe placement of the PNE test lead.
- The patient experienced over 50% symptom improvement within two weeks.
- No intra- or postoperative complications were reported.
Implications:
- CALP is a feasible and safe technique for PNE lead placement.
- The use of SNS may enhance precision in targeting S3 nerve roots for SNM.
- Further research is needed to fully establish the advantages and limitations of CALP in SNM procedures.
