title: Canadian experience in sacral neuromodulation.
abstract: The application of sacral nerve modulation and stimulation has gained wide acceptance asa tool to enhance the control of voiding. The simplicity of the technique has made the therapy appealing for refractory cases of voiding dysfunction. The percutaneous screening test is mandatory for the success of the therapy. Long-term follow-ups have shown efficacy and safety inpatients with voiding dysfunction. Sacral nerve modulation is an effective modality in the treatment of various voiding and storage dysfunction. The tined lead offers a minimally invasive implant procedure. The simplicity of the procedure and the patient's sensory awareness help to ensure best lead placement. Furthermore, local anesthesia instead of general anesthesia allows faster patient recovery and reduces complications. Finally, sacral neuromodulation offers a modality in the management of patients with voiding dysfunction.
authors.affiliation: Division of Urology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, MP 8-306, Toronto, Ontario M5T 2S8, Canada.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Elkelini
authors.forename: Magdy M
authors.initials: MM
authors.lastname: Hassouna
mesh_terms: D000328:Adult; D002170:Canada; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012021:Reflex, Abnormal; D012447:Sacrum; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000628:therapy; D016055:Urinary Retention / Q000628:therapy; D014555:Urination Disorders / Q000628:therapy*