Sacral nerve stimulation
15
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4
EPISODES
4
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Search complete. 15 mentions across 4 episodes found for "Sacral nerve stimulation".
Sep 21, 2026
speaker_1HOST
Do not click redo sphincteroplasty.
Allen KamravaHOST
The definitive answer to that clinical scenario and increasingly the answer for a first line surgical intervention across the board is sacral neuromodulation or SNM.
speaker_1HOST
SNM is now the dominant surgical paradigm.
Allen KamravaHOST
Right.
Allen KamravaHOST
Indicated for incontinent patients with or without physical sphincter defects.
Allen KamravaHOST
How does stimulating a nerve bridge a massive structural gap?
speaker_1HOST
I get it.
speaker_1HOST
The skepticism is rooted in the misconception that SNM functions as a direct efferent stimulator of the synctor muscle.
MandyHOST
Um, I recently...
MandyHOST
You know that I have an InterStim to help with the pelvic-
Kaitlin TordoffGUEST
Mm-hmm
MandyHOST
... floor damage that it's occurred over the years from, um, not only endometriosis, but carrying 10-pound children in my womb.
Kaitlin TordoffGUEST
That's crazy
MandyHOST
... just to give you an idea about how big I was.
MandyHOST
Um, anyway, so I have this InterStim, and it recently stopped working.
Kaitlin TordoffGUEST
Oh, no way.
Suzette SutherlandHOST
What I'd really like to spend a little bit of time on is, again, the amount of innovation that's happened in this area of neuromodulation, especially over the last 10, 15 years, has just been enormous, and it's really been exciting to be part of this really.
Suzette SutherlandHOST
You know, again, Medtronic with InterStim was the first sacral nerve stimulation, and for many, many years, right? There was innovation that happened there as they improved on the technology, but then there was a big boom, and lots of other companies have come into the market and really had some other ideas too.
Suzette SutherlandHOST
Why don't you tell us a little bit about what that innovation has been? How has the original InterStim changed to that sacral nerve stimulation to the other forms of neuromodulation we have today?
Jannah ThompsonGUEST
I mean, I think the, the innovation's always looking to do a few things.
Jannah ThompsonGUEST
Is it to extend the life of the therapy, to have less patient interaction, make the interface easier for the patient, less burden potentially to the office, but also just to expand opportunities, options for patients.
Suzette SutherlandHOST
And it's really been exciting to be part of this, really.
Suzette SutherlandHOST
You know, again, Medtronic with InterStim was the first sacral nerve stimulation.
Suzette SutherlandHOST
And for many, many years, right, there was innovation that happened there as they improved on the technology.
Suzette SutherlandHOST
But then there was a big boom and lots of other companies have come into the market and really had some other ideas, too.
Suzette SutherlandHOST
Why don't you tell us a little bit about what that innovation has been? How has the original InterStim changed? to that sacral nerve stimulation to the other forms of neuromodulation we have today.
Suzette SutherlandHOST
I
Jana ThompsonGUEST
mean, I think that the innovation is always looking to do a few things.