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DIAGNOSIS OF FEASIBILITY OF EFFERENT ROOTS IN A PATIENT CANDIDATE TO S.A.R.S. Castaño-Botero,J.C ; Ospina-Galeano,I.A.;Lopera-Toro,A 1 IMPLANT DUE TO SPINAL INJURY OF ONCOLOGICAL TREATMENT ORIGIN 2 1. 1.Hospital Pablo Tobón Uribe, Universidad CES, Medellín-Colombia, 2.Hospital Universitario 12 de Octubre, Madrid - Spain. The presentation of a clinical case in which, aided by neuromodulation, we have been able to adequately select a patient for later S.A.R.S. successful implantation. Neurostimulation + UT S.A.R.S implantation A Detrusor contraction with Pdet 35cmH20 Appropriate bladder emptying Appropriate bowel and erectile function Feeling improvement in quality of life The simultaneous implementation of sacral transforaminal electrical neurostimulation with urodynamics allows the execution of an assessment of the integrity of the efferent autonomic nerves that guarantees a reliable S.A.R.S. implant, in a context where further conventional test have demonstrated not to be effective. 43rd Annual Meeting of the 26-30 August 2013, Barcelona, Spain International Continence Society 43rd Annual Meeting of the 26-30 August 2013, Barcelona, Spain International Continence Society ICS 2013 ICS 2013 OBJETIVE RESULTS Male 48 years old Diagnosed and treated by high medullary ependymoma Since 2007 paraplegia for treatment for ependymoma Neurogenic detrusor overactivity ASIA Impairment Scale:ASIA A Level: T7 Treated CIC Repetitive Urinary infections Severe Erectile dysfunction hospitalization Urodynamic Test (UT) Acontractile detrusor Even with provocative manoeuvres Vol perf 619ml Qmáx 0 ml/seg pdetQmax 3,2 cmH20 Bladder capacity 619ml Post void 619ml residual CONCLUSION SaludMadrid Hospital Universitario 12 de Octubre

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DIAGNOSIS OF FEASIBILITY OF EFFERENT ROOTS IN A PATIENT CANDIDATE TO S.A.R.S.

Castaño-Botero,J.C ; Ospina-Galeano,I.A.;Lopera-Toro,A1

IMPLANT DUE TO SPINAL INJURY OF ONCOLOGICAL TREATMENT ORIGIN2 1.

1.Hospital Pablo Tobón Uribe, Universidad CES, Medellín-Colombia, 2.Hospital Universitario 12 de Octubre, Madrid - Spain.

The presentation of a clinical case in which, aided by neuromodulation, we have been able to adequatelyselect a patient for later S.A.R.S. successful implantation.

Neurostimulation

+ UTS.A.R.S implantation

A Detrusor contraction withPdet 35cmH20

Appropriate bladder emptying

Appropriate bowel and erectilefunction

Feeling improvement in qualityof life

The simultaneous implementation of sacral transforaminal electrical neurostimulation withurodynamics allows the execution of an assessment of the integrity of the efferentautonomic nerves that guarantees a reliable S.A.R.S. implant, in a context where furtherconventional test have demonstrated not to be effective.

43rd Annual Meeting of the

26-30 August 2013, Barcelona, SpainInternational Continence Society43rd Annual Meeting of the

26-30 August 2013, Barcelona, SpainInternational Continence SocietyICS

2013ICS2013

OBJETIVE

RESULTS

Male 48 years old

Diagnosed and treated by high medullary

ependymoma

Since 2007 paraplegia for treatment forependymoma

Neurogenic detrusor overactivity

ASIA Impairment Scale:ASIA A Level: T7