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Remote programming in stage I sacral neuromodulation: a multicentre prospective feasibility study.

Jibo Jing1, Lingfeng Meng1, Yaoguang Zhang1

  • 1Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College.

International Journal of Surgery (London, England)
|February 8, 2024
PubMed
Summary

Remote programming for Stage I sacral neuromodulation (SNM) is effective and highly satisfactory for patients with lower urinary tract dysfunction. This method offers significant advantages in improving specific symptom scores without compromising overall outcomes.

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Area of Science:

  • Urology
  • Neuromodulation
  • Digital Health

Background:

  • Sacral neuromodulation (SNM) is a key therapy for refractory lower urinary tract dysfunction (LUTD).
  • Remote programming (RP) can reduce burdens associated with traditional outpatient programming, especially post-Stage I SNM surgery.
  • Evaluating RP's effectiveness and patient satisfaction is crucial for its clinical adoption.

Purpose of the Study:

  • To explore the effectiveness and patient satisfaction of remote programming for Stage I SNM patients.
  • To analyze the benefits, including symptom improvement and usability, gained by patients using remote programming.
  • To compare remote programming with traditional outpatient control methods.

Main Methods:

  • A prospective, multicenter study involving patients undergoing SNM implantation.
  • Participants were divided into remote programming (RP) and outpatient control (OC) groups based on preference.
  • Patient attitudes were assessed via questionnaires, and symptom improvement was compared between groups.

Main Results:

  • High usability (98%) and satisfaction (96.83%) were reported for the remote programming system.
  • RP showed a significant advantage in improving ICSI/ICPI scores (P=0.015) compared to OC.
  • While trends for pain and urgency improvement were observed with RP, they were not statistically significant; quality of life and conversion rates were unaffected.

Conclusions:

  • This multicenter study is the first to focus on remote programming for Stage I SNM patients.
  • Remote programming demonstrated non-inferiority to in-person programming regarding success rate, effectiveness, safety, and patient satisfaction.
  • Remote programming is a viable and well-accepted alternative for managing Stage I SNM.