Is radiation exposure during sacral neuromodulation within safety limits?

Alabbad, Ali; Abdo, Elie; Hassouna, Magdy

doi:10.5489/cuaj.5262

Cited by 1 publication

(1 citation statement)

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“…SNM implantation requires, most commonly, fluoroscopic guidance in the lead placement stage of the procedure to correctly identify the S3 foramen and the depth of lead placement and direction and correlate it with the reflex responses of the patient. Though of ongoing concern, studies have shown that radiation during SNM implantation, be it staged or office-based percutaneous nerve evaluation (PNE), is safe and within the recommended limits set by the International Commission on Radiological Protection [54]. That, however, did not alter an ongoing debate on whether "fluoroguidance" can be replaced by a less radioactive imaging modality, the ultrasound.…”

Section: General Considerationsmentioning

confidence: 99%

Neuromodulation in Urology: Current Trends and Future Applications

Yaiesh¹,

Al‐Terki²,

Al-Shaiji³

2020

Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice

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Urological applications of neuromodulation and neurostimulation are among the most evolving fields for these technologies. First approved for management of refractory urge incontinence, different modalities of neuromodulation and stimulation have been tested, applied and verified for a vast spectrum of voiding and pelvic floor dysfunction disorders. The modalities of delivering this treatment have also evolved in the last three decades, with a focus on sacral neuromodulation. The experimental and established "off-label" applications of neuromodulation have also encompassed chronic pelvic pain disorders, including chronic prostatitis and bladder pain syndrome, among others. In this chapter, we discuss all the hypothesized theories suggested on how this technology provides therapeutic potential for a number of chronic and debilitating urological conditions, the modes of delivery be it anterior, sacral, and posterior tibial to name a few, and the evolving and future applications.

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Section: General Considerationsmentioning

confidence: 99%