{"id":2490,"date":"2013-07-08T09:13:36","date_gmt":"2013-07-08T14:13:36","guid":{"rendered":"https:\/\/www.vanderbilt.edu\/vise\/?p=2490"},"modified":"2017-06-27T15:37:17","modified_gmt":"2017-06-27T20:37:17","slug":"vise-seminar-series-sacral-neuromodulation-in-children-for-bladder-and-bowel-dysfunction-preliminary-results-sc-5326-tuesday-july-9-1150-lunch-provided","status":"publish","type":"post","link":"https:\/\/www.vanderbilt.edu\/vise\/vise-seminar-series-sacral-neuromodulation-in-children-for-bladder-and-bowel-dysfunction-preliminary-results-sc-5326-tuesday-july-9-1150-lunch-provided\/","title":{"rendered":"ViSE Seminar Series: Sacral Neuromodulation in Children For Bladder and Bowel Dysfunction: preliminary results, SC 5326, Tuesday July 9, 11:50. Lunch provided."},"content":{"rendered":"<p><img loading=\"lazy\" class=\"alignleft size-thumbnail wp-image-2497\" title=\"Pope headshot\" src=\"https:\/\/cdn.vanderbilt.edu\/vu-URL\/wp-content\/uploads\/sites\/193\/2019\/03\/19171102\/Pope-headshot3-140x150.png\" alt=\"\" width=\"160\" height=\"170\" \/>Title:\u00a0 Sacral Neuromodulation in Children For Bladder and Bowel Dysfunction: Preliminary results<\/p>\n<p>Speaker: Dr. \u00a0John C. Pope, IV, MD, Professor of Urologic Surgery; Pediatrics, VUMC<\/p>\n<p>Date: ****TUESDAY****, July 9, 2013<br \/>\nTime:\u00a0 11:50am social, noon start<br \/>\nPlace:\u00a0 Stevenson Center 5326<\/p>\n<p>Project abstract:<\/p>\n<p><strong>Purpose:<\/strong> Sacral neuromodulation for refractory urinary dysfunction in pediatrics has shown promising results. We prospectively evaluated patients undergoing sacral neuromodulation using validated quality of life (QOL) and bladder dysfunction questionnaires.<\/p>\n<p><strong>Materials and Methods:<\/strong> All patients were prospectively enrolled.\u00a0 Two validated questionnaires were completed pre-operatively, post-lead placement, and all follow-ups. The PedsQL<sup>TM <\/sup>4.0 Generic Core Scale assessed QOL and bladder dysfunction was quantified using the Vancouver Nonneurogenic Lower Urinary Tract Dysfunction (NLUTD) questionnaire. Wilcoxon matched-pairs test were performed and a p-value &lt; .05 was considered significant.<\/p>\n<p><strong>Results<\/strong>: A total of 14 patients were enrolled. Median age was 10 years and <strong>median follow-up was 6 months. <\/strong>All patients underwent placement of the generator. No significant difference was seen in physical QOL. Psychosocial QOL pre- and post-lead was 70.6 <span style=\"text-decoration: underline\">+<\/span> 17.4 and 81.43 <span style=\"text-decoration: underline\">+<\/span> 14.8, respectively (p = .02). Total QOL pre and post-lead was 75 <span style=\"text-decoration: underline\">+<\/span> 15.3 and 84.04 <span style=\"text-decoration: underline\">+<\/span> 13.2, respectively (p = .006). Median pre and post-lead NLUTD scores were 23 <span style=\"text-decoration: underline\">+<\/span> 7.8 and 10.5 <span style=\"text-decoration: underline\">+<\/span> 7.0, respectively (p &lt; .001). At one month post-op, a significant difference was seen in both total QOL and NLUTD scores. <strong>Two patients required either replacement of the temporary lead or generator. There were no infections. <\/strong><\/p>\n<p><strong>Conclusion:<\/strong> Patients undergoing sacral neuromodulation had a significant improvement in NLUTD scores and psychosocial and overall total QOL. Results were durable at 1 month. Continuing to follow these patients in a prospective manner with validated questionnaires will strengthen the current evidence supporting sacral neuromodulation in the pediatric population.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Title:\u00a0 Sacral Neuromodulation in Children For Bladder and Bowel Dysfunction: Preliminary results Speaker: Dr. \u00a0John C. Pope, IV, MD, Professor of Urologic Surgery; Pediatrics, VUMC Date: ****TUESDAY****, July 9, 2013 Time:\u00a0 11:50am social, noon start Place:\u00a0 Stevenson Center 5326 Project abstract: Purpose: Sacral neuromodulation for refractory urinary dysfunction in pediatrics has shown promising results. We&#8230;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"_links_to":"","_links_to_target":""},"categories":[12],"tags":[231],"acf":[],"jetpack_featured_media_url":"","jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p98pzF-Ea","_links":{"self":[{"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/posts\/2490"}],"collection":[{"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/comments?post=2490"}],"version-history":[{"count":9,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/posts\/2490\/revisions"}],"predecessor-version":[{"id":5816,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/posts\/2490\/revisions\/5816"}],"wp:attachment":[{"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/media?parent=2490"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/categories?post=2490"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vanderbilt.edu\/vise\/wp-json\/wp\/v2\/tags?post=2490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}