• Int Urogynecol J · Apr 2011

    Comparative Study

    Lead migration after sacral neuromodulation: surgical revision in fascial versus tined anchoring systems.

    • Nazema Y Siddiqui, Cindy L Amundsen, Elizabeth G Corey, and Jennifer M Wu.
    • Department of Obstetrics and Gynecology, Duke University Medical Center, DUMC 3192, Durham, NC 27710, USA. nazema.siddiqui@duke.edu
    • Int Urogynecol J. 2011 Apr 1;22(4):419-23.

    Introduction And HypothesisOur objective was to compare risk of surgical revision after sacral neuromodulator lead migration based on the type of anchoring system.MethodsWe performed a retrospective cohort study of patients receiving sacral neuromodulation over 7 years. We compared surgical revision due to loss of efficacy accompanied by radiographic lead migration in fascial-anchored versus tined leads.ResultsOf 112 patients, 28 (25%) underwent fascial anchoring, and 84 (75%) received tined leads. Within 2 years of implantation, lead migration occurred in 26% of fascial and 10% of tined anchoring systems (RR, 2.25 (95% confidence interval, 0.85-5.93)). Patients with fascial anchors were followed for a longer period of time. Therefore, Kaplan-Meier curves were compared showing no difference in risk of lead migration (p = 0.09). Four of eight (50%) lead migrations in tined leads occurred within the first 3 months after implantation.ConclusionsTwo years after sacral neuromodulator implantation, lead migration is similar between fascial-anchored and tined leads.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…