International Continence Society best practice statement for use of sacral neuromodulation.

Goldman HB, Lloyd JC, Noblett KL, Carey MP, Castano Botero JC, Gajewski JB, Lehur PA, Hassouna MM, Matzel K, Paquette IM, De Wachter S, Ehlert MJ, Chartier-Kastler E, Siegel SW (2018)

Publication Type: Journal article

Publication year: 2018

Journal

Neurourology and Urodynamics Wiley-Blackwell

Book Volume: 37

Pages Range: 1823-1848

Journal Issue: 5

DOI: 10.1002/nau.23515

Abstract

AIMS: Sacral neuromodulation (SNM) is an accepted therapy for a variety of conditions. However, despite over 20 years of experience, it remains a specialized procedure with a number of subtleties. Here we present the recommendations issued from the International Continence Society (ICS) SNM Consensus Panel. METHODS: Under the auspices of the ICS, eight urologists, three colorectal surgeons and two urogynecologists, covering a wide breadth of geographic and specialty interest representation, met in January 2017 to discuss best practices for neuromodulation. Suggestions for statements were submitted in advance and specific topics were assigned to committee members, who prepared and presented supporting data to the group, at which time each topic was discussed in depth. Best practice statements were formulated based on available data. This document was then circulated to multiple external reviewers after which final edits were made and approved by the group. RESULTS: The present recommendations, based on the most relevant data available in the literature, as well as expert opinion, address a variety of specific and at times problematic issues associated with SNM. These include the use of SNM for a variety of underlying conditions, need for pre-procedural testing, use of staged versus single-stage procedures, screening for success during the trial phase, ideal anesthesia, device implantation, post-procedural management, trouble-shooting loss of device function, and future directions for research. CONCLUSIONS: These guidelines undoubtedly constitute a reference document, which will help urologists, gynecologists, and colorectal surgeons optimize their use of SNM for refractory urinary urgency and frequency, UUI, NOR, and FI.

Authors with CRIS profile

Klaus Matzel Lehrstuhl für Allgemein- und Viszeralchirurgie

Involved external institutions

Dalhousie University CA Canada (CA) University of Toronto CA Canada (CA) Cleveland Clinic US United States (USA) (US) Universidad CES CO Colombia (CO) Université de Nantes FR France (FR) University of California Irvine US United States (USA) (US) Frances Perry Private Hospital AU Australia (AU) Antwerp University Hospital (UZA) BE Belgium (BE) University of Cincinnati US United States (USA) (US) Sorbonne Université FR France (FR)

How to cite

APA:

Goldman, H.B., Lloyd, J.C., Noblett, K.L., Carey, M.P., Castano Botero, J.C., Gajewski, J.B.,... Siegel, S.W. (2018). International Continence Society best practice statement for use of sacral neuromodulation. Neurourology and Urodynamics, 37(5), 1823-1848. https://doi.org/10.1002/nau.23515

MLA:

Goldman, Howard B., et al. "International Continence Society best practice statement for use of sacral neuromodulation." Neurourology and Urodynamics 37.5 (2018): 1823-1848.

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