Tined Lead Procedure | Axonics SNM System®

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Sacral Neuromodulation is a guideline-recommended therapy that restores normal control of the bladder and bowel. Axonics Sacral Neuromodulation Therapy provides gentle stimulation to the nerves that control the bladder and bowel. The stimulation can restore normal communication between the brain and the bladder and bowel, which can result in an improvement of your symptoms, whether you are suffering from overactive bladder, bowel incontinence, or urinary retention.
To determine if Sacral Neuromodulation is the right treatment option for you, it is important to consult with your doctor. This animation demonstrates the Axonics Tined Lead Procedure, in preparation for either an Advanced Trial, or a Full Implant of the Axonics System.
Definitions:
CP = Clinician Programmer
INS = Implantable Neurostimulator
Chapters:
00:00 - Introduction
00:10 - Mark Patient Pre-operatively
00:42 - Patient Positioning
01:05 - Connect Ground Pad
01:17 - Identify Third Sacral Foramina
01:11 - Insert Foramen Needle
01:40 - Mark Medial Aspect
02:01 - Insert Foramen Needle
02:50 - Connect Needle Test Stim Cable
03:00 - Use CP to Test for Responses
03:22 - Place Directional Guide
03:33 - Remove Foramen Needle
03:37 - Insert Introducer Sheath & Dilator
03:53 - Remove Dilator & Directional Guide
04:00 - Insert Tined Lead
04:42 - Readjust Tined Lead if necessary
05:02 - Tined Lead to Follow S3 Nerve
05:10 - Connect Tined Lead Stim Cable and Test
05:32 - Use CP to Confirm Responses
05:45 - Remove Introducer & Lead Stylet
06:07 - Final Tined Lead Placement
06:25 - Test Electrodes
For full Important Safety Information and Indications, visit: www.axonics.com/isi
IMPORTANT NOTE: This surgical technique is only intended as a guide. We recommend that the physician is properly trained before conducting the procedure. The physician should consider the individual needs of each patient and make appropriate adjustments as necessary. Please refer to the Axonics SNM product manual at www.axonics.com/hcp/resources... for additional information on proper use, indications, contraindications, and warnings.

[@bobpurvis5474]

My urologist wants to insert the tined lead based on my toe movement. But I have CMT and my toes don't move .
So how could proper placement be confirmed? It can't!