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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Programming Algorithms for Sacral Neuromodulation: Clinical Practice and Evidence-Recommendations for Day-to-Day Practice

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

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  2. Sacral Neuromodulation: Standardized Electrode Placement Technique

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  • European SNM Expert Group
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BACKGROUND: In sacral neuromodulation (SNM), stimulation programming plays a key role to achieve success of the therapy. However to date, little attention has been given to the best ways to set and optimize SNM programming during the test and chronic stimulation phases of the procedure.

OBJECTIVE: Standardize and make SNM programming easier and more efficient for the several conditions for which SNM is proposed.

METHODS: Systematic literature review and collective clinical experience report.

RESULTS: The basic principles of SNM programming are described. It covers choice of electrode configuration, stimulation amplitude, pulse frequency and pulse widths, while use of cycling is also briefly discussed. Step-by-step practical flow charts developed by a group of 13 European experts are presented.

CONCLUSIONS: Programming of SNM therapy is not complex. There are few programming settings that seem beneficial or significantly impact patient outcomes. Only four basic electrode configurations could be identified according to four different options to define the cathode. In a majority of patients, the proposed stimulation parameters will allow a satisfactory improvement for long periods of time. A regular follow-up is, however, necessary to assess and eventually optimize results, as well as to reassure patients.

OriginalsprogEngelsk
TidsskriftNeuromodulation
Vol/bind23
Udgave nummer8
Sider (fra-til)1121-1129
Antal sider9
ISSN1094-7159
DOI
StatusUdgivet - dec. 2020

Bibliografisk note

© 2020 The Authors. Neuromodulation: Technology at the Neural Interface published by Wiley Periodicals, Inc. on behalf of International Neuromodulation Society.

ID: 59545352