You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Neurogenic Voiding Dysfunction1 Apr 2014MP80-04 EXTRADULAR IMPLANTATION OF SACRAL ANTERIOR ROOTS STIMULATOR (SARS) IN PATIENTS WITH SPINAL CORD INJURY Juan Carlos Castaño- Botero, Irma Ospina-Galeano, Adrian Ramiro Lopera- Toro, Reinaldo Gómez- Illanes, and Ignacio González-Borrero Juan Carlos Castaño- BoteroJuan Carlos Castaño- Botero More articles by this author , Irma Ospina-GaleanoIrma Ospina-Galeano More articles by this author , Adrian Ramiro Lopera- ToroAdrian Ramiro Lopera- Toro More articles by this author , Reinaldo Gómez- IllanesReinaldo Gómez- Illanes More articles by this author , and Ignacio González-BorreroIgnacio González-Borrero More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2527AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES to analyze the clinical and urodynamic results as well as to evaluate the complications arised from extradural implantation of SARS in treatment of patients with spinal cord injury (SCI)associated with neurogenic detrusor overactivity(NDO). METHODS We made a descriptive study of the results from 104 patients diagnosed SCI with NDO. These patients had been implanted since 2009. Descriptive and clinical variables were taken into account, frequent and descriptive analysis was made using SPSS 15. RESULTS Patients had average age 38 ±10 years, 91% were male. Trauma was main cause of the lesions (99%).The patients had average time of lesion evolution of 110+-86 months. 90% of the patients showed ASIA A classification, 60% located at dorsal level. Urinary infection rate before SARS was 91%, and 15% after the procedure (p<0,69). Before SARS all patients suffered urinary incontinence, after 86% of the patients has been cured. Patients with autonomic dysreflexia before SARS was 66% after the SARS only 5% (p<0,07). After SARS 94% of the patients had a bladder capacity greater than 300 ml .In 6% of the patients it was necessary to implant of a readjustable suburethral mesh due to stress urinary incontinence .91% of patients achieved an effective voiding, with a residual post-voiding lower than 50ml. 59% of the patients used the device for erectile function and 88% of the cases use for the bowel function. Two cases of infection in the receiver block have been shown four and five months after the implant. These cases have been solved by withdrawal of the device and subsequent provision of antibiotic therapy.Failure of the device was shown in one of the patients six months later, which was repaired without negative effects by substitution of the receiver block. Due to the increased experience, complications have been meaningfully reduced, as well as the infections, following the routine use of prophylactic antibiotics both in the pre and post-surgery phase. CONCLUSIONS Our experience in Latin America turned us into the group with the largest series of extradural technique implants worldwide, which enables a direct view of the nerve roots avoiding the penetration in the intradural space, given the significant complications and technical difficulties it implies.Though Most of the groups worldwide use intradural technique, with the extradural implantation we found excellent clinical and urodynamics results which are comparables with intradural technique. Moreover, extradural tecnhnique proves to be a safe procedure, given the scarce complications it shows, being most of them easily solved. © 2014FiguresReferencesRelatedDetails Volume 191 Issue 4S April 2014 Page: e939 Advertisement Copyright & Permissions© 2014Metrics Author Information Juan Carlos Castaño- Botero More articles by this author Irma Ospina-Galeano More articles by this author Adrian Ramiro Lopera- Toro More articles by this author Reinaldo Gómez- Illanes More articles by this author Ignacio González-Borrero More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...