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. 2016 Jan;29(1):23-8.
doi: 10.3344/kjp.2016.29.1.23. Epub 2016 Jan 4.

Caudal Neuromodulation with the Transforaminal Sacral Electrode (InterStim®): Experience in a Pain Center Regarding 12 Implants

Laura Alonso Guardo  1 , Carlos Cano Gala  2 , David Sánchez Poveda  1 , Pablo Rueda Juan  3 , Francisco José Sánchez Montero  1 , José Carlos Garzón Sánchez  1 , Juan Ignacio Santos Lamas  1 , Miguel Vicente Sánchez Hernández  1
Affiliations

Caudal Neuromodulation with the Transforaminal Sacral Electrode (InterStim®): Experience in a Pain Center Regarding 12 Implants

Laura Alonso Guardo et al. Korean J Pain. 2016 Jan.

Abstract

Background: Sacral nerve stimulation is a therapeutic option with demonstrated efficacy for conditions presenting with perineal pain caused by different etiologies. We aimed to assess whether a sacral electrode (InterStim®, Medtronic, Minneapolis, MN, USA) inserted through the caudal pathway is able to offer an acceptable level of sacral stimulation and rate of catheter migration.

Methods: We present 12 patients with pelvic pain who received sacral neuromodulation via the sacral hiatus with the InterStim electrode. We evaluated patient satisfaction as well as migration and removal of the electrode, if necessary.

Results: Our experience included 12 patients, 10 women and two men, with a mean age of 60 years. In eight of the 12 patients, the initial therapy was effective, and the final system implantation was performed. During subsequent follow-up, patient satisfaction was good. To date, there have been no cases of electrode displacement or migration.

Conclusions: The caudal insertion of the InterStim electrode, with its own fixation system, and initially designed for transsacral insertion, appears in our experience to be a satisfactory option which can minimize electrode displacements, achieving similar results in therapeutic efficacy and causing no difficulties in removal.

Keywords: Implantable neurostimulator; Outcome assessment; Pain; Perineum; Sacrococcygeal region; Sacrum; Spinal cord stimulation.

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Figures

Fig. 1
Fig. 1. Radioscope image showing the electrode inserted through the caudal pathway. AP.
Fig. 2
Fig. 2. Radioscope image showing the electrode inserted through the caudal pathway. Lateral.
Fig. 3
Fig. 3. Radioscope image showing the electrode, the extension line, and the pulse generator.
See this image and copyright information in PMC

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