Voiding dysfunction
Conditions
Interventions
Observation group:Surgical instruments
Control group:Sacral nerve puncture with traditional X-ray fluoroscopy
Sponsors
Shanghai Pudong Gongli Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Indications recommended or expanded by the Chinese expert consensus on the clinical application of sacral neuromodulation, including refractory overactive bladder, non-obstructive urinary retention, fecal incontinence, neurogenic lower urinary tract dysfunction, interstitial cystitis, etc. (2) Patients aged 18-80 years. (3) No obvious limb, spine and pelvic deformities. (4) At the same time, the pelvic CT scan and lower abdominal MRI examination were completed to ensure that the image quality met the requirements of the navigation system. (5) Willing to participate in this study.
Exclusion criteria
Exclusion criteria: (1) Progressive neurological lesions, complete paraplegia. (2) Patients who have metal implants in their bodies and cannot undergo MRI examinations. (3) The CT and MRI images are blurry, and the image quality cannot meet the needs of reconstruction and analysis. (4) Broken and infected skin of the buttocks, which may affect postoperative recovery or increase the risk of complications. (5) Uncontrolled severe urinary tract infection: severe damage to the upper urinary tract (severe vesicoureteral reflux, severe hydronephrosis). (6) Low compliance bladder, bladder outlet obstruction, bladder contracture and other conditions that affect the effect and safety of surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Puncture needle insertion attempts;Intraoperative neuromodulation test time;Threshold voltage;Phase II conversion rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications; | — |
Countries
China
Contacts
Public ContactLv Jianwei
Shanghai Pudong Gongli Hospital
Outcome results
None listed