Pd59-03 Remote Programming in Phase I Sacral Neuromodulation: A Multi-Center Feasibility Study

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Neuromodulation (PD59)1 May 2024PD59-03 REMOTE PROGRAMMING IN PHASE I SACRAL NEUROMODULATION: A MULTI-CENTER FEASIBILITY STUDY Lingfeng Meng Lingfeng MengLingfeng Meng View All Author Informationhttps://doi.org/10.1097/01.JU.0001009544.34256.8a.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Sacral neuromodulation (SNM) has emerged as an effective therapy for refractory lower urinary tract dysfunction (LUTD). However, frequent programming adjustments for SNM maintenance impose significant time and economic burdens. This is particularly challenging for patients in the observation period after the Phase I implant surgery. METHODS: This multicenter prospective case-control study was conducted at multiple high-level clinical SNM centers in China. Patients requiring SNM implantation were enrolled and divided into two groups based on patient preference: remote programming (RP) group and outpatient control(OC) group. Patient attitudes toward RP were assessed through questionnaires, and the degree of symptom improvement was compared between the two groups to explore the usability of RP. RESULTS: A total of 63 participants from 6 centers were included in the study, with 32 belonging to the RP group. The remote programming system presents a high level of usability (98%) and willingness (satisfaction rate: 96.83%) in result of questionnaire. RP showed a significant advantage in improving patients' score of ICSI/ICPI (medianΔICSI/ICPI RP vs OC= -13.50 vs -2, p=0.015). And slightly ameliorate urinary symptoms such as pain (medianΔVAS RP vs OC= -1 vs 0, p=0.164 ) and urgency ( medianΔOBASS -2.5 vs -1, p=0,229), but the difference was not statistically significant. RP did not significantly impact the quality of life of patients (p=0.113), so do the rate of phase-two conversion (p=0.926) or programming parameters. CONCLUSIONS: Through the clinical implementation and patient feedback, we demonstrate that remote programming is not inferior to in-person programming in terms of success rate, effectiveness, safety, and patient satisfaction. These findings highlight the significant potential for the development and application of remote programming services, offering efficient, cost-effective, and convenient programming solutions for SNM patients after Phase I surgery. Download PPTDownload PPT Source of Funding: This study was supported by National High Level Hospital Clinical Research Funding (BJ-2021-184) © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1222 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Lingfeng Meng More articles by this author Expand All Advertisement PDF downloadLoading ...