Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies
Objective: To assess the efficacy and safety of Sacral Neuromodulation (SNM) in conjunction with 3D printing and ultrasound localization for treating patients with neurogenic bladder and pelvic structural anomalies. Methods: This prospective study involved 56 patients diagnosed with neurogenic bladd...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958424024862 |
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| author | Runze Liu Yuxuan Zhou Qiang Hao Yaoguang Zhang Peng Zhang Guoqing Chen Yong Zhang |
| author_facet | Runze Liu Yuxuan Zhou Qiang Hao Yaoguang Zhang Peng Zhang Guoqing Chen Yong Zhang |
| author_sort | Runze Liu |
| collection | DOAJ |
| description | Objective: To assess the efficacy and safety of Sacral Neuromodulation (SNM) in conjunction with 3D printing and ultrasound localization for treating patients with neurogenic bladder and pelvic structural anomalies. Methods: This prospective study involved 56 patients diagnosed with neurogenic bladder and pelvic anomalies. They were treated with SNM from January 2022 to December 2023. Patients were split into study and control groups based on the origins of their pelvic anomalies, with each group comprising 28 individuals. The study group underwent preoperative 3D printing and intraoperative ultrasound-assisted puncture, whereas the control group utilized intraoperative X-ray-assisted puncture. Metrics compared included the number of punctures, average puncture duration, intraoperative SNS tuning time, effective initial voltage, postoperative testing duration, phase two conversion rates, and the incidence of bleeding and infection. Results: The study group experienced significantly fewer punctures compared to the control group (2.21 ± 0.92 vs 9.29 ± 4.37) (P < 0.01), had a shorter average puncture duration (5.71 ± 2.69 min vs. 28.60 ± 9.69 min) (P < 0.01), and required a lower effective initial voltage (0.87 ± 0.23v vs. 1.38 ± 0.52v) (P < 0.01). X-ray exposure was eliminated in the study group, in contrast to 11.51 ± 4.62 mAs in the control group(P < 0.01). The phase two implantation rates were 67.8 % for the study group and 57.1 % for the control group(P = 0.04). No surgery-related complications occurred in either group. Conclusion: Combining preoperative 3D printing with intraoperative ultrasound-assisted puncture significantly improves the accuracy of SNM placement, reduces surgery time, and eliminates X-ray exposure for both doctors and patients. This method is both safe and effective for patients with neurogenic bladder and pelvic anomalies. |
| format | Article |
| id | doaj-art-5707af4cf5c14fa2be4693154e4d7d5d |
| institution | Kabale University |
| issn | 1015-9584 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj-art-5707af4cf5c14fa2be4693154e4d7d5d2025-01-30T05:13:44ZengElsevierAsian Journal of Surgery1015-95842025-02-0148210221026Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomaliesRunze Liu0Yuxuan Zhou1Qiang Hao2Yaoguang Zhang3Peng Zhang4Guoqing Chen5Yong Zhang6Department of Urology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Hospital, Peking University, Beijing, ChinaDepartment of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Boai Hospital, Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Corresponding author.Objective: To assess the efficacy and safety of Sacral Neuromodulation (SNM) in conjunction with 3D printing and ultrasound localization for treating patients with neurogenic bladder and pelvic structural anomalies. Methods: This prospective study involved 56 patients diagnosed with neurogenic bladder and pelvic anomalies. They were treated with SNM from January 2022 to December 2023. Patients were split into study and control groups based on the origins of their pelvic anomalies, with each group comprising 28 individuals. The study group underwent preoperative 3D printing and intraoperative ultrasound-assisted puncture, whereas the control group utilized intraoperative X-ray-assisted puncture. Metrics compared included the number of punctures, average puncture duration, intraoperative SNS tuning time, effective initial voltage, postoperative testing duration, phase two conversion rates, and the incidence of bleeding and infection. Results: The study group experienced significantly fewer punctures compared to the control group (2.21 ± 0.92 vs 9.29 ± 4.37) (P < 0.01), had a shorter average puncture duration (5.71 ± 2.69 min vs. 28.60 ± 9.69 min) (P < 0.01), and required a lower effective initial voltage (0.87 ± 0.23v vs. 1.38 ± 0.52v) (P < 0.01). X-ray exposure was eliminated in the study group, in contrast to 11.51 ± 4.62 mAs in the control group(P < 0.01). The phase two implantation rates were 67.8 % for the study group and 57.1 % for the control group(P = 0.04). No surgery-related complications occurred in either group. Conclusion: Combining preoperative 3D printing with intraoperative ultrasound-assisted puncture significantly improves the accuracy of SNM placement, reduces surgery time, and eliminates X-ray exposure for both doctors and patients. This method is both safe and effective for patients with neurogenic bladder and pelvic anomalies.http://www.sciencedirect.com/science/article/pii/S1015958424024862Neurogenic bladderSacral neuromodulation3D printingPelvic structural anomalies |
| spellingShingle | Runze Liu Yuxuan Zhou Qiang Hao Yaoguang Zhang Peng Zhang Guoqing Chen Yong Zhang Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies Asian Journal of Surgery Neurogenic bladder Sacral neuromodulation 3D printing Pelvic structural anomalies |
| title | Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| title_full | Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| title_fullStr | Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| title_full_unstemmed | Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| title_short | Effectiveness of sacral neuromodulation with 3D-printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| title_sort | effectiveness of sacral neuromodulation with 3d printing and ultrasound localization for treating neurogenic bladder in patients with pelvic structural anomalies |
| topic | Neurogenic bladder Sacral neuromodulation 3D printing Pelvic structural anomalies |
| url | http://www.sciencedirect.com/science/article/pii/S1015958424024862 |
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