Our previous study 2 using limited 5% Medicare data reported an 11.3% reintervention rate at 90 days and a 33% rate at 5 years. In a 5-year follow-up study of patients implanted with SNM for overactive bladder, Siegel et al 6 also reported only a 67% therapeutic success rate. We extend these results in, to our knowledge, the first large-scale, all-inclusive statewide study demonstrating high SNM device failure. We found that device malfunction was the second most common indication for early reinterventions and the predominant indication at 5 years. Moreover, our results demonstrate that even in the hands of high-volume surgeons, the invasive surgical reintervention rate remains very high.
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Stahel et al. (2018) studied this question.
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