Sacral neuromodulation therapy for urinary and defecatory disorders: experience in a Latin American public hospital
Abstract Objective: To show the experience of a Latin American public hospital, with SNM in the management of either OAB, NOUR or FI, reporting feasibility, short to medium-term success rates, and complications. Methods: A retrospective cohort was conducted using data collected prospectively from pa...
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia,
2024-05-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_04513743a28f4f5e8c125da39089b51f | ||
042 | |a dc | ||
100 | 1 | 0 | |a Marcelo Mass-Lindenbaum |e author |
700 | 1 | 0 | |a Diego Arévalo-Vega |e author |
700 | 1 | 0 | |a Isidora Aleuanlli |e author |
700 | 1 | 0 | |a Fernanda Santis-Moya |e author |
700 | 1 | 0 | |a Andrea Maluenda |e author |
700 | 1 | 0 | |a Eitan Dines |e author |
700 | 1 | 0 | |a Miriam Cohen-Vaizer |e author |
700 | 1 | 0 | |a Álvaro Saavedra |e author |
700 | 1 | 0 | |a Trinidad Raby |e author |
700 | 1 | 0 | |a Bernardita Blumel |e author |
700 | 1 | 0 | |a Rodrigo Cuevas |e author |
700 | 1 | 0 | |a Simone Pohlhammer |e author |
700 | 1 | 0 | |a Gabriela Alarcon |e author |
700 | 1 | 0 | |a Marco Arellano Albornoz |e author |
700 | 1 | 0 | |a Javier Pizarro-Berdichevsky |e author |
245 | 0 | 0 | |a Sacral neuromodulation therapy for urinary and defecatory disorders: experience in a Latin American public hospital |
260 | |b Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, |c 2024-05-01T00:00:00Z. | ||
500 | |a 0100-7203 | ||
500 | |a 10.61622/rbgo/2024ao11 | ||
520 | |a Abstract Objective: To show the experience of a Latin American public hospital, with SNM in the management of either OAB, NOUR or FI, reporting feasibility, short to medium-term success rates, and complications. Methods: A retrospective cohort was conducted using data collected prospectively from patients with urogynecological conditions and referred from colorectal surgery and urology services between 2015 and 2022. Results: Advanced or basic trial phases were performed on 35 patients, 33 (94%) of which were successful and opted to move on Implantable Pulse Generator (GG) implantation. The average follow-up time after definitive implantation was 82 months (SD 59). Of the 33 patients undergoing, 27 (81%)reported an improvement of 50% or more in their symptoms at last follow-up. Moreover, 30 patients (90%) with a definitive implant reported subjective improvement, with an average PGI-I "much better" and 9 of them reporting to be "excellent" on PGI-I. Conclusion: SNM is a feasible and effective treatment for pelvic floor dysfunction. Its implementation requires highly trained groups and innovative leadership. At a nation-wide level, greater diffusion of this therapy among professionals is needed to achieve timely referral of patients who require it. | ||
546 | |a EN | ||
546 | |a PT | ||
690 | |a Sacral neuromodulation | ||
690 | |a Urinary bladder | ||
690 | |a overactive | ||
690 | |a Non-obstructive urinary retention | ||
690 | |a Fecal incontinence | ||
690 | |a Incontinence | ||
690 | |a Electric stimulation therapy | ||
690 | |a Gynecology and obstetrics | ||
690 | |a RG1-991 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n Revista Brasileira de Ginecologia e Obstetrícia, Vol 46 (2024) | |
787 | 0 | |n http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032024000100218&tlng=en | |
787 | 0 | |n https://doaj.org/toc/0100-7203 | |
856 | 4 | 1 | |u https://doaj.org/article/04513743a28f4f5e8c125da39089b51f |z Connect to this object online. |