Medical & Surgical Urology
Open Access

Cynthia Obrero

Publications

• Research Article
  Cycling Sacral Root Neuromodulation: Pilot Study to Assess the Effectiveness of This Mode in Neuromodulator Programming for the Treatment of Chronic Pelvic Pain Syndrome
  Author(s): Francesco Cappellano, Giovanni M Ciotti, Alessandro Tafuri, Christoph Munch, Silvia Bassi, Matteo Balzarro, Antonio B Porcaro, Emanuele Rubilotta, Michael Wiesmayr, Cynthia Obrero, Lesley Metcalf, Laura Mariani, Walter Artibani and Maria Angela CerrutoFrancesco Cappellano, Giovanni M Ciotti, Alessandro Tafuri, Christoph Munch, Silvia Bassi, Matteo Balzarro, Antonio B Porcaro, Emanuele Rubilotta, Michael Wiesmayr, Cynthia Obrero, Lesley Metcalf, Laura Mariani, Walter Artibani and Maria Angela Cerruto
  
  Aim: There is lack of evidence of the role of sacral root neuromodulation (SNM) in the management of chronic pelvic pain syndrome (CPPS). We evaluated the effectiveness of cycling sacral root neuromodulation (CSNM) in the management of CPPS in patients non responders to conservative treatment. Methods: A prospective, single center, cohort study was carried out on all patients with CPPS refractory to conventional treatment, who underwent test stimulation using the tined lead between February 2012 and March 2016. During test stimulation the tine lead was positioned along the third sacral nerve, on the side where they reported more pain. Success was defined as >50% improvement of pain and concurrent urinary symptoms. After a successful SNM test period of 4 weeks, patients received a permanent implant. We also included 9 more patients already wi.. View More»
  DOI: 10.4172/2168-9857.1000193

  Abstract PDF

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