VID-02.02: First stage incisionless placement of Implantable Pulse Generator (IPG) in children: video description of technique and results

Abstract

We have previously described short-term results from 2-stage sacral nerve stimulation (SNS) in children with medically refractory dysfunctional elimination syndrome (DES) using the Interstim® device (Medtronic Inc., Minneapolis, USA). Drawbacks to pediatric SNS include the use of fluoroscopy and the need to reopen recent skin incisions during the course of a two-stage implant, resulting in radiation exposure, patient discomfort, increased risk of wound infection, and poor cosmesis. This video details a percutaneous technique of SNS which eliminates all 1st stage incisions and 2nd stage fluoroscopy.