{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T23:45:09Z","timestamp":1768347909464,"version":"3.49.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"15-16","license":[{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T00:00:00Z","timestamp":1670284800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medical University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Wien Klin Wochenschr"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sacral neuromodulation (SNM) is a\u00a0widely accepted treatment for pelvic floor disorders, including constipation and fecal incontinence (FI). In 2017, a\u00a0standardized electrode placement method, the H\u00a0technique, was introduced to minimize failure rates and improve clinical outcomes. We aimed to investigate the technical feasibility and functional outcome of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective study, we evaluated the first 50\u00a0patients who underwent SNM according to the H\u00a0technique between 2017 and 2020 at a\u00a0tertiary care hospital. Patient demographic and clinical data were collected, and the impact of various factors on patients\u2019 postoperative quality of life (QoL) was assessed after a\u00a0follow-up of 40\u00a0months. Functional outcome was monitored prospectively using a\u00a0standardized questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 50\u00a0patients, 36 (72%) reported greater than 50% symptom relief and received a\u00a0permanent implant (95% CI: 58.3\u201382.5). We observed 75% success in relieving FI (95% CI: 58.9\u201386.3) and 64% in constipation (95% CI: 38.8\u201383.7). Complication occurred in five (10%) patients. Preoperative vs. postoperative physical and psychological QoL, Vaizey score, and obstructed defecation syndrome (ODS) scores revealed significant improvements (all<jats:italic>p<\/jats:italic>\u202f&lt;\u20090.01). Male gender was significantly associated with postoperative complications (<jats:italic>p<\/jats:italic>\u202f=\u20090.035).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We provide evidence for the technical feasibility and efficacy of the SNM implantation using the H technique. The medium-term results are promising for patients with FI and constipation. Male patients and those with a\u00a0BMI\u202f&gt;\u200925 are more prone to perioperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00508-022-02115-x","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T14:06:40Z","timestamp":1670335600000},"page":"399-405","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Technical and functional outcome after sacral neuromodulation using the \u201cH\u201d technique"],"prefix":"10.1007","volume":"135","author":[{"given":"Mohammad Mahdi","family":"Kasiri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Mittlboeck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Dawoud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Riss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,12,6]]},"reference":[{"issue":"2","key":"2115_CR1","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1093\/gastro\/gou015","volume":"2","author":"AP Zbar","year":"2014","unstructured":"Zbar\u00a0AP. Sacral neuromodulation and peripheral nerve stimulation in patients with anal incontinence: an overview of techniques, complications and troubleshooting. Gastroenterol Rep. 2014;2(2):112\u201320.","journal-title":"Gastroenterol Rep"},{"issue":"8","key":"2115_CR2","doi-asserted-by":"publisher","first-page":"816","DOI":"10.1111\/ner.12695","volume":"20","author":"KE Matzel","year":"2017","unstructured":"Matzel\u00a0KE, Chartier-Kastler\u00a0E, Knowles\u00a0CH, Lehur\u00a0PA, Munoz-Duyos\u00a0A, Ratto\u00a0C, et al. Sacral neuromodulation: standardized electrode placement technique. Neuromodulation. 2017;20(8):816\u201324.","journal-title":"Neuromodulation"},{"issue":"2","key":"2115_CR3","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s10151-020-02364-w","volume":"25","author":"C M\u00fcller","year":"2021","unstructured":"M\u00fcller\u00a0C, Reissig\u00a0LF, Argeny\u00a0S, Weninger\u00a0WJ, Riss\u00a0S. Standardized fluoroscopy-guided implantation technique enables optimal electrode placement in sacral neuromodulation: a\u00a0cadaver study. Tech Coloproctol. 2021;25(2):215\u201321.","journal-title":"Tech Coloproctol"},{"issue":"1","key":"2115_CR4","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1136\/gut.44.1.77","volume":"44","author":"CJ Vaizey","year":"1999","unstructured":"Vaizey\u00a0CJ, Carapeti\u00a0E, Cahill\u00a0JA, Kamm\u00a0MA. Prospective comparison of faecal incontinence grading systems. Gut. 1999;44(1):77\u201380.","journal-title":"Gut"},{"key":"2115_CR5","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.015","author":"JS Hyams","year":"2016","unstructured":"Hyams\u00a0JS, Di Lorenzo\u00a0C, Saps\u00a0M, Shulman\u00a0RJ, Staiano\u00a0A, van Tilburg\u00a0M. Functional disorders: children and adolescents. Gastroenterology. 2016. https:\/\/doi.org\/10.1053\/j.gastro.2016.02.015.","journal-title":"Gastroenterology"},{"issue":"5","key":"2115_CR6","doi-asserted-by":"publisher","first-page":"1823","DOI":"10.1002\/nau.23515","volume":"37","author":"HB Goldman","year":"2018","unstructured":"Goldman\u00a0HB, Lloyd\u00a0JC, Noblett\u00a0KL, Carey\u00a0MP, Casta\u00f1o Botero\u00a0JC, Gajewski\u00a0JB, et\u00a0al. International Continence Society best practice statement for use of sacral neuromodulation. Neurourol Urodyn. 2018;37(5):1823\u201348.","journal-title":"Neurourol Urodyn"},{"issue":"1","key":"2115_CR7","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1111\/j.1463-1318.2007.01262.x","volume":"10","author":"DF Altomare","year":"2008","unstructured":"Altomare\u00a0DF, Spazzafumo\u00a0L, Rinaldi\u00a0M, Dodi\u00a0G, Ghiselli\u00a0R, Piloni\u00a0V. Set-up and statistical validation of a\u00a0new scoring system for obstructed defaecation syndrome. Colorectal Dis. 2008;10(1):84\u20138.","journal-title":"Colorectal Dis"},{"key":"2115_CR8","volume-title":"SF-12: how to score the SF-12 physical and mental health summary scales","author":"J Ware","year":"1998","unstructured":"Ware\u00a0J, Kosinski\u00a0M, Keller\u00a0S. SF-12: how to score the SF-12 physical and mental health summary scales. Boston: The Health Institute New England Medical Center; 1998."},{"issue":"6","key":"2115_CR9","doi-asserted-by":"publisher","first-page":"1076","DOI":"10.1016\/j.urology.2004.01.005","volume":"63","author":"S Hajebrahimi","year":"2004","unstructured":"Hajebrahimi\u00a0S, Corcos\u00a0J, Lemieux\u00a0MC. International consultation on incontinence questionnaire short form: comparison of physician versus patient completion and immediate and delayed self-administration. Urology. 2004;63(6):1076\u20138.","journal-title":"Urology"},{"issue":"2","key":"2115_CR10","first-page":"119","volume":"52","author":"A Agresti","year":"1998","unstructured":"Agresti\u00a0A, Coull\u00a0BA. Approximate is better than \u201cexact\u201d for interval estimation of binomial proportions. Am Stat. 1998;52(2):119\u201326.","journal-title":"Am Stat"},{"issue":"11","key":"2115_CR11","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1007\/s10151-020-02328-0","volume":"24","author":"J Hidaka","year":"2020","unstructured":"Hidaka\u00a0J, Lundby\u00a0L, Laurberg\u00a0S, Duelund-Jakobsen\u00a0J. Comparison of long-term outcome of sacral nerve stimulation for constipation and faecal incontinence with focus on explantation rate, additional visits, and patient satisfaction. Tech Coloproctol. 2020;24(11):1189\u201395.","journal-title":"Tech Coloproctol"},{"issue":"7","key":"2115_CR12","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.1007\/s11605-010-1177-z","volume":"14","author":"SD Wexner","year":"2010","unstructured":"Wexner\u00a0SD, Hull\u00a0T, Edden\u00a0Y, Coller\u00a0JA, Devroede\u00a0G, McCallum\u00a0R, et\u00a0al. Infection rates in a\u00a0large investigational trial of sacral nerve stimulation for fecal incontinence. J\u00a0Gastrointest Surg. 2010;14(7):1081\u20139.","journal-title":"J Gastrointest Surg"},{"issue":"4","key":"2115_CR13","first-page":"421","volume":"109","author":"L Amoroso","year":"2005","unstructured":"Amoroso\u00a0L, Pelliccioni\u00a0G, Ghiselli\u00a0R, Scarpino\u00a0O, Saba\u00a0V, Ricci\u00a0S. Sacral-neuromodulation CT-guided. Radiol Med. 2005;109(4):421\u20139.","journal-title":"Radiol Med"},{"issue":"6","key":"2115_CR14","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.1002\/nau.24018","volume":"38","author":"SA Adelstein","year":"2019","unstructured":"Adelstein\u00a0SA, Lee\u00a0W, Gioia\u00a0K, Moskowitz\u00a0D, Stamnes\u00a0K, Lucioni\u00a0A, et\u00a0al. Outcomes in a\u00a0contemporary cohort undergoing sacral neuromodulation using optimized lead placement technique. Neurourol Urodyn. 2019;38(6):1595\u2013601.","journal-title":"Neurourol Urodyn"},{"key":"2115_CR15","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.urology.2016.06.004","volume":"99","author":"D Liberman","year":"2017","unstructured":"Liberman\u00a0D, Ehlert\u00a0MJ, Siegel\u00a0SW. Sacral neuromodulation in urological practice. Urology. 2017;99:14\u201322.","journal-title":"Urology"},{"issue":"1","key":"2115_CR16","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/S0302-2838(02)00442-6","volume":"43","author":"M Spinelli","year":"2003","unstructured":"Spinelli\u00a0M, Giardiello\u00a0G, Arduini\u00a0A, van den Hombergh\u00a0U. New percutaneous technique of sacral nerve stimulation has high initial success rate: preliminary results. Eur Urol. 2003;43(1):70\u20134.","journal-title":"Eur Urol"},{"issue":"9","key":"2115_CR17","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1097\/DCR.0b013e31822155e9","volume":"54","author":"A Mellgren","year":"2011","unstructured":"Mellgren\u00a0A, Wexner\u00a0SD, Coller\u00a0JA, Devroede\u00a0G, Lerew\u00a0DR, Madoff\u00a0RD, et al. Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum. 2011;54(9):1065\u201375.","journal-title":"Dis Colon Rectum"},{"issue":"5","key":"2115_CR18","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1038\/ajg.2015.101","volume":"110","author":"PG Dinning","year":"2015","unstructured":"Dinning\u00a0PG, Hunt\u00a0L, Patton\u00a0V, Zhang\u00a0T, Szczesniak\u00a0M, Gebski\u00a0V, et al. Treatment efficacy of sacral nerve stimulation in slow transit constipation: a\u00a0two-phase, double-blind randomized controlled crossover study. Am J Gastroenterol. 2015;110(5):733\u201340.","journal-title":"Am J Gastroenterol"},{"issue":"9","key":"2115_CR19","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.1007\/s00384-019-03351-w","volume":"34","author":"M Schiano di Visconte","year":"2019","unstructured":"Schiano di Visconte\u00a0M, Pasquali\u00a0A, Cipolat Mis\u00a0T, Brusciano\u00a0L, Docimo\u00a0L, Bellio\u00a0G. Sacral nerve stimulation in slow-transit constipation: effectiveness at 5\u2011year follow-up. Int J Colorectal Dis. 2019;34(9):1529\u201340.","journal-title":"Int J Colorectal Dis"},{"issue":"6","key":"2115_CR20","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1007\/s10151-019-02011-z","volume":"23","author":"S Gortazar de Las Casas","year":"2019","unstructured":"Gortazar de Las Casas\u00a0S, Rubio-Perez\u00a0I, Saavedra Ambrosy\u00a0J, de Avila\u00a0SA, Alvarez-Gallego\u00a0M, Marijuan\u00a0MJL, et al. Sacral nerve stimulation for constipation: long-term outcomes. Tech Coloproctol. 2019;23(6):559\u201364.","journal-title":"Tech Coloproctol"},{"issue":"4","key":"2115_CR21","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1097\/SLA.0b013e318247d49f","volume":"255","author":"CH Knowles","year":"2012","unstructured":"Knowles\u00a0CH, Thin\u00a0N, Gill\u00a0K, Bhan\u00a0C, Grimmer\u00a0K, Lunniss\u00a0PJ, et al. Prospective randomized double-blind study of temporary sacral nerve stimulation in patients with rectal evacuatory dysfunction and rectal hyposensitivity. Ann Surg. 2012;255(4):643\u20139.","journal-title":"Ann Surg"},{"issue":"9","key":"2115_CR22","doi-asserted-by":"publisher","first-page":"878","DOI":"10.1097\/DCR.0000000000000653","volume":"59","author":"V Patton","year":"2016","unstructured":"Patton\u00a0V, Stewart\u00a0P, Lubowski\u00a0DZ, Cook\u00a0IJ, Dinning\u00a0PG. Sacral nerve stimulation fails to offer long-term benefit in patients with slow-transit constipation. Dis Colon Rectum. 2016;59(9):878\u201385.","journal-title":"Dis Colon Rectum"},{"issue":"6","key":"2115_CR23","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1097\/MEG.0000000000001379","volume":"31","author":"Y Yiannakou","year":"2019","unstructured":"Yiannakou\u00a0Y, Etherson\u00a0K, Close\u00a0H, Kasim\u00a0A, Mercer-Jones\u00a0M, Plusa\u00a0S, et al. A randomized double-blinded sham-controlled cross-over trial of tined-lead sacral nerve stimulation testing for chronic constipation. Eur J Gastroenterol Hepatol. 2019;31(6):653\u201360.","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2115_CR24","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.ijsu.2020.10.007","volume":"84","author":"L Meng","year":"2020","unstructured":"Meng\u00a0L, Tian\u00a0Z, Zhang\u00a0W, Zhang\u00a0Y, Wang\u00a0J, Liao\u00a0L, et\u00a0al. Influence of patient sex on the effectiveness of sacral neuromodulation: a cohort study from China. Int J Surg. 2020;84:13\u20137.","journal-title":"Int J Surg"},{"issue":"1","key":"2115_CR25","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1186\/s12894-020-00621-6","volume":"20","author":"S Sch\u00f6nburg","year":"2020","unstructured":"Sch\u00f6nburg\u00a0S, Bukethal\u00a0T, Fornara\u00a0P. Does age alone negatively predict the outcome of sacral neuromodulation? A single-centre retrospective observational study. BMC Urol. 2020;20(1):55.","journal-title":"BMC Urol"},{"issue":"S5","key":"2115_CR26","doi-asserted-by":"publisher","first-page":"S18","DOI":"10.1002\/nau.24072","volume":"38","author":"T Marcelissen","year":"2019","unstructured":"Marcelissen\u00a0T, Anding\u00a0R, Averbeck\u00a0M, Hanna-Mitchell\u00a0A, Rahnama\u2019i\u00a0S, Cardozo\u00a0L. Exploring the relation between obesity and urinary incontinence: Pathophysiology, clinical implications, and the effect of weight reduction, ICI-RS 2018. Neurourol Urodynam. 2019;38(S5):S18\u2013S24.","journal-title":"Neurourol Urodynam"},{"issue":"6","key":"2115_CR27","doi-asserted-by":"publisher","first-page":"1598","DOI":"10.1111\/codi.15638","volume":"23","author":"C Dawoud","year":"2021","unstructured":"Dawoud\u00a0C, Riss\u00a0S. Sacral neuromodulation for faecal incontinence using the new interstim\u2122 micro system\u2014a stepwise teaching video. Colorectal Dis. 2021;23(6):1598. https:\/\/doi.org\/10.1111\/codi.15638.","journal-title":"Colorectal Dis."}],"container-title":["Wiener klinische Wochenschrift"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00508-022-02115-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00508-022-02115-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00508-022-02115-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T15:17:28Z","timestamp":1701530248000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00508-022-02115-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,6]]},"references-count":27,"journal-issue":{"issue":"15-16","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["2115"],"URL":"https:\/\/doi.org\/10.1007\/s00508-022-02115-x","relation":{},"ISSN":["0043-5325","1613-7671"],"issn-type":[{"value":"0043-5325","type":"print"},{"value":"1613-7671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,6]]},"assertion":[{"value":"4 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 October 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 December 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"M.M.\u00a0Kasiri, M.\u00a0Mittlboeck, C.\u00a0Dawoud and S.\u00a0Riss declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the ethics committee of the Medical University of Vienna (EK Nr.\u00a01267\/2020) and conducted according to the principles of the Helsinki Declaration and Good Clinical Practice. Consent to participate: informed consent was obtained from all individual participants included in the study. Consent for publication: the participants have consented regarding publishing their anonymous data.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}