![]() ![]() The sacral nerves serve the lower urinary tract. At times CISC can be a painful and traumatic process, and SNM offers an effective therapeutic alternative. In patients with chronic urinary retention, the only known forms of treatment are clean intermittent self-catheterization (CISC) or indwelling suprapubic/transurethral catheters. ![]() Indeed, it may be the only therapy available in some patient groups. Patients with chronic urinary retention, voiding dysfunction, bowel dysfunction and chronic pain syndromes can benefit from this device. Who Will Benefit from Sacral Neuromodulation? It also helps a patient to spontaneously and completely empty the bladder. It enables the person to perceive the sensation of bladder fullness and the desire to void. The device is implanted surgically and stimulates the sacral nerve with mild electrical pulses. ![]() The sacral nerve controls a person’s bladder, bowel and pelvic floor and the muscles related to their function. Since its introduction in 1990s sacral neuromodulation (SNM), also known as sacral nerve stimulation (SNS), has proven to be a useful treatment of chronic dysfunction of the urinary, bowel and pelvic floor. National Hospital for Neurology and Neurosurgery, Queen Square, London, England Member, International Neuromodulation Society Sohier Elneil, B.Sc (Hons), MBChB, PhD (Cantab.), MRCOG ![]()
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