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