![]() You should also avoid extreme sports and diving. Patients who have had a neuromodulator implanted should not have certain types of diathermy (a type of energy used in surgical procedures). If you ever have to undergo surgery, show your surgical team the sacral neuromodulation identification card. ![]() MRI scans of the brain are safe with some stimulator models, and your doctor will give you information about the safety of MRI scans. Treatments like magnetic resonance imaging (MRI), lithotripsy (for kidney stones), therapeutic ultrasound radiation therapy over the stimulator, and heart defibrillators should be avoided. Always inform your doctors that you have a sacral neuromodulator if you are having any kind of surgery or imaging investigation. Please contact your treating doctor if you need any advice. Approximately one third of patients might need further surgery because of problems with the device. Sometimes these problems require the device to be removed. Other problems include pain at the implant sites, new pain, lead migration, infection, technical or device problems, undesirable change in bowel or voiding function, and undesirable stimulation or sensations including jolting or shock sensations. The system may be affected by, or adversely affect, a variety of electronic medical devices or security devices (see below). Once switched on, you may feel a pulsing, tingling, tapping, dragging or pulling sensation anywhere from your urethra (the tube leading from the bladder) to your anus (back passage). You will be taught how to connect, switch on and off and increase electrical impulses, also known as amplitude, on your stimulator the day after your 1 st stage surgery. As an alternative to this 1 st stage, some doctors perform an office procedure called a Peripheral Nerve Evaluation under local anesthesia. You should not remove any of the dressings on your back and keep the device dry at all times. You should avoid bending, stretching, sexual intercourse, or activities that may affect the device and affect its wire connection. You will need to adapt your lifestyle and day-to-day work with the implant and the medical team will assess the viability of a permanent sacral neuromodulator implant. During this phase, your doctor may ask you to keep a bladder diary to see how well the device is working. You will be connected to this external device the day after your surgery.ĭuring the test phase, you will learn how to use the stimulator to see how successful it will be in controlling your symptoms. It will be connected to an external control device. A temporary lead is connected to the electrode, tunneled under the skin across your back where it is brought out to the opposite side. Through one of the incisions the permanent electrode is placed near the sacral nerve. The 1 st stage procedure involves making three tiny incisions in the lower back.
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