[] Sacral nerve stimulation, also termed sacral, is a type of medical therapy. It typically involves the implantation of a programmable stimulator, which delivers low amplitude electrical stimulation via a lead to the, usually accessed via the S3.

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Has approved InterStim Therapy, by, as a sacral nerve stimulator for treatment of, high. Sacral nerve stimulation is also under investigation as treatment for other conditions, including brought on by nerve damage due to surgical procedures. An experimental procedure for constipation in children is being conducted in Nationwide Children's Hospital. In the event that the nerves and the brain are no longer communicating effectively, resulting in a bowel/bladder disorder, this type of treatment is designed to imitate a signal sent via the central nervous system.

One of the major nerve routes is from the brain, along the spinal cord and through the back. This is commonly referred to as the sacral area. This area controls the everyday function of the, urethral sphincter, bladder and bowel.

By stimulating the sacral nerve (located in the lower back), a signal is sent that manipulates a contraction within the pelvic floor. Over time these contractions rebuild the strength of the organs and muscles within it. This effectively alleviates all symptoms of urinary/faecal disorders, and in many cases eliminates them completely. Contents • • • • • • • • • • • Medical uses [ ] Urge incontinence [ ] Many studies have been initiated using the sacral nerve stimulation (SNS) technique to treat patients that suffer with urinary problems. [ ] When applying this procedure, proper patient screening is essential, because some disorders that affect the urinary tract (like or ) have to be treated differently.

Once the patient is selected, he receives a temporary external pulse generator connected to wire leads at S3 for 1–2 weeks. If the person's symptoms improve by more than 50%, he receives the permanent wire leads and stimulator that is implanted in the in the.

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The first follow up happens 1–2 weeks later to check if the permanent devices are providing improvement in the user's symptoms and to program the pulse generator adequately. [ ] Bleeding, infection, pain and unwanted stimulation in the extremities are some of the complications resulting from this therapy. Currently, battery replacements are necessary 5–10 years after implementation depending upon the strength of the stimulation therapy.

This procedure has shown long term success rate that ranges from 50% to 90%, and one study concluded that it was a good option for patients with lower urinary tract dysfunction refractive to conservative and pharmacological interventions. Fecal incontinence [ ], the involuntary loss of stool and flatus release afflicting mainly elderly people, can also be treated with sacral nerve stimulation as long as patients have intact.

The FDA approved the approach for treating the fecal incontinence in March 2011. The is not well understood yet and both conservative treatments (like, special diet and ) and surgical treatments for this disorder are not regarded as ideal options. Pascual et al. (2011) revised the follow up results of the first 50 people that submit to sacral nerve stimulation (SNS) to treat fecal incontinence in Madri (Spain). The most common cause for the fecal incontinence was obstetric procedures, idiopathic origin and prior anal surgery, and all these people were refractory to the conservative treatment.

The procedure consisted of placing a temporary pulse generator connected to a unilateral electrode at S3 or S4 foramen for 2–4 weeks. After it was confirmed that the SNS was decreasing the incontinence episodes, the patients received the definitive electrode and pulse generator that was implanted in the or in the. Two patients did not show improvement in the first step and did not receive the definitive stimulator. Mean follow up was 17.02 months and during this time the patients showed improvement in the voluntary contraction pressure and reduction of incontinence episodes. Complications were two cases of infection, two cases with pain and one broken electrode.