PARA EL PENDON 2 - ICS
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Results of implantation of sacral anterior root stimulator combined with 43rd Annual Meeting of the 26-30 August 2013, Barcelona, Spain International Continence Society 43rd Annual Meeting of the 26-30 August 2013, Barcelona, Spain International Continence Society ICS 2013 ICS 2013 posterior rhizotomy in patients with spinal cord injury in Latin America. Castaño-Botero,J.C ; Ospina-Galeano,I.A.;Gómez Llanes, R ;Lopera-Toro, A . 1 2 1.Hospital Pablo Tobón Uribe, Universidad CES, Medellín-Colombia, 2.Hospital Universitario 12 de Octubre, Madrid - Spain., 3. Hospital del 3 1 Trabajador de Santiago de Chile, Santiago de Chile-Chile To analyze the results of the initial experience of the treatment of patients with spinal cord injury associated with neurogenic detrusor overactivity in Latin America. MATERIALS AND METHODS We completed a descriptive study of the results obtained from 98 patients diagnosed with spinal cord injury associated with neurogenic detrusor overactivity who were implanted with SARS combined with posterior rhizotomy since 2009. RESULTS CARACTERISTICS OF THE POPULATION N 98 Male 91% Female 9% 38 10 years + - Gender Average age Level lesion ASIA A Time between injury and implantation Toracic 62% 87% 42-175 months RESULTS (SARS + POSTERIOR RHIZOTOMY) Bladder capacity 400ml 97% Post void residual 50ml 91% Erectile function 56% Bowel function 87% URINARY INFECTION URINARY INCONTINENCE AUTONOMIC DYSREFLEXIA BEFORE SARS AFTER SARS 100 92 80 60 40 20 0 8 78 16 “WITHOUT INFECTION” INFECTION” “WITH 150 100 50 0 100 87 13 WITH INCONTINENCE WITHOUT INCONTINENCE 100 80 60 40 20 0 32 68 5 WITHOUT DYSREFLEXIA WITH DYSREFLEXIA 95 CONCLUSION Six patients showed surgical wound infection which was cured with standar antibiotic treatment and the device (receiver block) was also replaced, all procedure was completed without any complications. Due to incontinence in six patients it was necessary to place an adjustable suburethral mesh, and in one case it was neccesary to apply a botulinum toxin shot in the sphincter. The results of our experience in Latin America presents excellent clinical results in patients with spinal cord injury associated with neurogenic detrusor overactivity allowing them to have a proper bladder emptying as well as control of the bowel and erectile functions with a low rate of complications. These findings make this procedure a good alternative for those patients who are selected appropriately and those in which previous standard treatments have failed. OBJETIVE SaludMadrid Hospital Universitario 12 de Octubre Hospital del Trabajador Santiago BEFORE SARS AFTER SARS BEFORE SARS AFTER SARS
Transcript of PARA EL PENDON 2 - ICS
Results of implantation of sacral anterior root stimulator combined with
43rd Annual Meeting of the
26-30 August 2013, Barcelona, SpainInternational Continence Society43rd Annual Meeting of the
26-30 August 2013, Barcelona, SpainInternational Continence SocietyICS
2013ICS2013
posterior rhizotomy in patients with spinal cord injury in Latin America.
Castaño-Botero,J.C ; Ospina-Galeano,I.A.;Gómez Llanes, R ;Lopera-Toro, A .1 2
1.Hospital Pablo Tobón Uribe, Universidad CES, Medellín-Colombia, 2.Hospital Universitario 12 de Octubre, Madrid - Spain., 3. Hospital del
3 1
Trabajador de Santiago de Chile, Santiago de Chile-Chile
To analyze the results of the initial experience of the treatment of patients with spinal cord injury associatedwith neurogenic detrusor overactivity in Latin America.
MATERIALS AND METHODS
We completed a descriptive study of the results obtained from 98 patients diagnosed with spinal cord injuryassociated with neurogenic detrusor overactivity who were implanted with SARS combined with posteriorrhizotomy since 2009.
RESULTS
CARACTERISTICS OF THE POPULATION
N 98
Male 91% Female 9%
38 10 years+-
Gender
Average age
Level lesion
ASIA A
Time between injury and implantation
Toracic 62%
87%
42-175 months
RESULTS (SARS + POSTERIOR RHIZOTOMY)
Bladder capacity 400ml 97%
Post void residual 50ml 91%
Erectile function 56%
Bowel function 87%
URINARY INFECTION URINARY INCONTINENCE AUTONOMIC DYSREFLEXIA
BEFORE SARS AFTER SARS
100 92
80
60
40
20
0
8
78
16
“WITHOUTINFECTION”
INFECTION”
“WITH
150
100
50
0
10087
13
WITH
INCONTINENCE
WITHOUTINCONTINENCE
100
80
60
40
20
0
32
68
5
WITHOUT
DYSREFLEXIA
WITH
DYSREFLEXIA
95
CONCLUSION
Six patients showed surgical wound infection which was cured with standar antibiotic treatment and the device (receiver block) was also replaced, all procedure wascompleted without any complications. Due to incontinence in six patients it was necessary to place an adjustable suburethral mesh, and in one case itwas neccesary to apply a botulinum toxin shot in the sphincter.
The results of our experience in Latin America presents excellent clinical results in patients with spinal cord injury
associated with neurogenic detrusor overactivity allowing them to have a proper bladder emptying as well as control of thebowel and erectile functions with a low rate of complications. These findings make this procedure a good alternativefor those patients who are selected appropriately and those in which previous standard treatments have failed.
OBJETIVE
SaludMadrid
Hospital Universitario12 de Octubre Hospital del Trabajador
Santiago
BEFORE SARS AFTER SARS BEFORE SARS AFTER SARS
