Fecal Incontinence

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Sacral Nerve Stimulation in Metro Atlanta

Sacral neuromodulation is a treatment option for people who experience fecal incontinence, which is the inability to control bowel movements. This treatment involves the use of a small device called a neurostimulator, which is placed under the skin near the sacral nerves in the lower back.

The sacral nerves are responsible for controlling the muscles of the pelvic floor, which play a crucial role in bowel control. When these nerves are not working properly, it can lead to fecal incontinence. The neurostimulator works by sending mild electrical pulses to these sacral nerves, helping to regulate their activity.

The Procedure

The neurostimulator is typically implanted in two stages. During the first stage, a temporary wire is placed near the sacral nerves to test the effectiveness of the treatment. If the temporary test is successful in reducing the symptoms of fecal incontinence, a second stage is performed to implant a permanent neurostimulator.

Once the permanent neurostimulator is in place, it can be programmed and adjusted by a healthcare professional to deliver the appropriate electrical pulses to the sacral nerves. These pulses help to improve the communication between the nerves and the muscles of the pelvic floor, leading to better control over bowel movements.

The Benefits

Overall, sacral neuromodulation aims to restore normal function to the sacral nerves and improve bowel control in individuals with fecal incontinence. It can be an effective treatment option for those who have not found relief from other conservative treatments and are seeking a long-term solution.

Dr. Bhalani has extensive experience with this treatment and numerous satisfied patients.  Call our office to schedule a consultation at (678) 321-7227.

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Percutaneous sacral nerve evaluation (PNE) is a medical procedure used to assess the sacral nerves, which play a crucial role in controlling bowel and bladder function. Patients who may require PNE include those with neurogenic bladder or bowel dysfunction, urinary retention, or chronic pelvic pain. Here are some frequently asked questions related to PNE and their answers:

PNE is a diagnostic procedure used to assess the function of the sacral nerves, which are responsible for controlling bowel and bladder function. It involves temporarily stimulating these nerves to evaluate their responsiveness.

PNE is typically performed to help diagnose the cause of neurogenic bladder or bowel dysfunction, urinary retention, or chronic pelvic pain. It can help determine if sacral nerve modulation therapy (SNS or sacral neuromodulation) would be an appropriate treatment option.

During a PNE procedure, a small needle electrode is inserted through the skin into the sacral foramina near the tailbone. This electrode is connected to a stimulator, and electrical impulses are delivered to the sacral nerves. The patient’s response is monitored, and the information gathered helps in diagnosing the underlying issue.

The procedure is generally well-tolerated, and patients may experience mild discomfort during electrode placement. Local anesthesia is usually used to numb the area. Any discomfort is typically temporary and mild.

PNE typically takes about 15-30 minutes to complete. It is an outpatient procedure, and patients go home the same day.

While PNE is a safe procedure, there are potential risks, including infection, bleeding, and pain at the insertion site. These complications are rare but possible.

After the procedure, patients are monitored for a short time to ensure there are no immediate complications. They can typically resume their normal activities within a day or two. The results of the PNE are evaluated by a healthcare provider to determine the next steps in treatment.

No, PNE is a diagnostic test used to assess the viability of sacral neuromodulation as a treatment option. SNS is a long-term therapy involving the implantation of a device to stimulate the sacral nerves continuously.

PNE is used to help diagnose conditions such as overactive bladder, urinary retention, fecal incontinence, and chronic pelvic pain, especially when other treatments have been ineffective.

Depending on the results of the PNE and the underlying condition, your healthcare provider will discuss the potential treatment options with you. This may include sacral neuromodulation or other therapies tailored to your specific needs.

It’s essential to discuss any concerns or questions you have about PNE with your healthcare provider to ensure you have a full understanding of the procedure and its implications for your condition.

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