Sacral Neuromodulation
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Sacral Neuromodulation
Sacral nerve stimulation (SNS) also termed sacral neuromodulation (SNM), is a minimally invasive surgical procedure in which a device (pulse generator) is implanted in the body. The device delivers mild electrical pulses, resulting in continuous electrical stimulation of the sacral spinal nerves (usually sacral spinal nerve 3). It is an example of neuromodulation. Sacral nerve stimulation is used to treat various pelvic disorders, including urinary incontinence, urinary urgency, urinary frequency, urinary retention, overactive bladder, fecal incontinence, constipation, and low anterior resection syndrome. Indications SNS may be indicated if non surgical treatments do not work. SNS has been used for many different pelvic conditions. Sometimes more than one indicated condition coexists. For example, pelvic pain might be combined with bladder, bowel, or sexual dysfunction. * Bladder dysfunction ** Urinary incontinence ** Overactive bladder. ** Urinary urgency ** Urinary freque ...
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Minimally Invasive Surgery
Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed, thereby reducing wound healing time, associated pain, and risk of infection. Surgery by definition is invasive, and many operations requiring incisions of some size are referred to as ''open surgery''. Incisions made during open surgery can sometimes leave large wounds that may be painful and take a long time to heal. Advancements in medical technologies have enabled the development and regular use of minimally invasive procedures. For example, endovascular aneurysm repair, a minimally invasive surgery, has become the most common method of repairing abdominal aortic aneurysms in the US as of 2003. The procedure involves much smaller incisions than the corresponding open surgery procedure of open aortic surgery. Interventional radiologists were the forerunners of minimally invasive procedures. Using imaging techniques, radiologists ...
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Neurogenic Bowel Dysfunction
Neurogenic bowel dysfunction (NBD) is reduced ability or inability to control defecation due to deterioration of or injury to the nervous system, resulting in fecal incontinence or constipation. It is common in people with spinal cord injury (SCI), multiple sclerosis (MS) or spina bifida. The gastrointestinal tract (GI tract) has a complex control mechanism that relies on coordinated interaction between muscular contractions and neuronal impulses (nerve signals). Fecal incontinence or constipation occurs when there is a problem with normal bowel functioning. This could be for a variety of reasons. The normal defecation pathway involves contractions of the colon which helps mix the contents, absorb water and propel the contents along. This results in feces moving along the colon to the rectum. The presence of stool in the rectum causes reflexive relaxation of the internal anal sphincter ( rectoanal inhibitory reflex), so the contents of the rectum can move into the anal canal. This ...
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Spinal Cord Injury
A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. It is a destructive neurological and pathological state that causes major motor, sensory and autonomic dysfunctions. Symptoms of spinal cord injury may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury. Injury can occur at any level of the spinal cord and can be ''complete'', with a total loss of sensation and muscle function at lower sacral segments, or ''incomplete'', meaning some nervous signals are able to travel past the injured area of the cord up to the Sacral S4-5 spinal cord segments. Depending on the location and severity of damage, the symptoms vary, from numbness to paralysis, including bowel or bladder incontinence. Long term outcomes also range widely, from full recovery to permanent tetraplegia (also called quadriplegia) or paraplegia. Complications c ...
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Meningomyelocele
Spina bifida (SB; ; Latin for 'split spine') is a birth defect in which there is incomplete closing of the spine and the membranes around the spinal cord during early development in pregnancy. There are three main types: spina bifida occulta, meningocele and myelomeningocele. Meningocele and myelomeningocele may be grouped as spina bifida cystica. The most common location is the lower back, but in rare cases it may be in the middle back or neck. Occulta has no or only mild signs, which may include a hairy patch, dimple, dark spot or swelling on the back at the site of the gap in the spine. Meningocele typically causes mild problems, with a sac of fluid present at the gap in the spine. Myelomeningocele, also known as open spina bifida, is the most severe form. Problems associated with this form include poor ability to walk, impaired bladder or bowel control, accumulation of fluid in the brain, a tethered spinal cord and latex allergy. Some experts believe such an allergy can b ...
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