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Related Experiment Video

Updated: Oct 8, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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Computed Tomography-Guided Placement of Sacral Electrodes.

Ada Rosen^1,2, Sorin Elias^3,2, Hadas Ganer Herman^4,2

¹Department of Surgery A and Proctology, Wolfson Medical Center, Holon, Israel.

The Israel Medical Association Journal : IMAJ

|December 26, 2021

Summary

Computed tomography (CT)-guided sacral electrode reinsertion for sacral neuromodulation is safe and effective, showing significant improvements in fecal incontinence symptoms and reduced pad usage in patients.

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Area of Science:

Neurology
Medical Imaging
Surgical Procedures

Background:

Sacral neuromodulation typically uses a two-stage procedure with fluoroscopic guidance for electrode insertion.
Computed tomography (CT) offers an alternative guidance method in specific scenarios.

Purpose of the Study:

To evaluate the efficacy and safety of CT-guided sacral electrode insertion for sacral neuromodulation.
Specifically assess CT-guidance in cases requiring electrode reinsertion due to device complications.

Main Methods:

Retrospective review of medical records for patients undergoing sacral neuromodulation device reinsertion between 2005 and 2016 for fecal incontinence.
Analysis of procedure success, electrode placement, and long-term treatment outcomes.

Main Results:

Ten patients underwent CT-guided sacral electrode insertion during the study period.
Successful placement was achieved in nine out of ten patients; one required S4 placement due to S3 malformation.
Significant reductions in daily incontinence episodes (P < 0.001) and pad usage (P = 0.002) were observed post-reinsertion.

Conclusions:

CT-guided sacral electrode insertion is a safe and promising approach for sacral neuromodulation.
This technique is particularly beneficial for recurrent or selected cases requiring electrode reinsertion.