Featured Research

from universities, journals, and other organizations

Sacral nerve stimulation gives pediatric patients hope

Date:
June 16, 2014
Source:
Nationwide Children's Hospital
Summary:
Sacral nerve stimulation, sometimes called sacral neuromodulation, is used to help patients desperate to control their bowels or bladder, when other treatment options have failed. During the procedure, surgeons implant a device that addresses communication problems between the brain and the nerves that control bowel and bladder function. If the nerves are not communicating properly, the muscles may not function properly, which leads to incontinence.

Dr. Steven Teich, right, implants a nerve stimulator in a groundbreaking procedure at Nationwide Children`s Hospital. Teich is among the first in the U.S. to use the implant in children. The device stimulates the sacral nerve near the base of a patient`s spine, allowing the colon to process food more normally.
Credit: Nationwide Children's Hospital

Heather Rayser, 16, has a colon that does not function properly and as a result, she has never been to high school and has been on home hospital care for nine years. Her life is filled with rigidly timed and painful flushes to try to clear her colon, but a procedure recently FDA approved for use in adult cases like Heather's is being piloted at Nationwide Children's Hospital to give children like Heather and their families new hope.

Related Articles


Sacral nerve stimulation, sometimes called sacral neuromodulation, is used to help patients desperate to control their bowels or bladder, when other treatment options have failed. During the procedure, surgeons implant a device which addresses communication problems between the brain and the nerves that control bowel and bladder function. If the nerves are not communicating properly, the muscles may not function properly, which leads to incontinence.

"The implanted device delivers mild electrical impulses to the pelvic nerves," said Dr. Steven Teich, director of the Surgical Neuromodulation Program at Nationwide Children's. "The pelvic nerves then begin to tell the muscles when to contract, ultimately helping control the ability to urinate or have a bowel movement."

The first stage of therapy is a test phase, involving the temporary placement of an electrical stimulator. If the patient shows significant improvement in bowel or bladder control during the test phase, the surgeon implants a permanent electrical stimulator, which Heather had implanted in May. The Rayser family is now anxiously waiting to see if the device is the answer Heather has been hoping for to allow her to go back to school and finally be a normal teenager.

"To see everything Heather's physically and mentally had to endure these nine years has been very difficult," said Heather's mom, Kellie Rayser. "I don't expect a miracle to happen overnight, but my dream for her is that she'll be able to cut back on the time and pain her treatments cause her and live like a normal teenager."

"For the first time that patients like Heather can remember, they don't have a colostomy and can be just like everyone else," said Dr. Teich, also surgical director of Nationwide Children's Neonatal Intensive Care Unit and Professor of Clinical Surgery at OSU College of Medicine. For the average patient, it can take six months to a year after the device is implanted for the colon to begin functioning normally. The patient can feel the stimulator working, but it does not cause discomfort. Every five years, patients need to have the batteries in their stimulators replaced.

Dr. Teich, also part of a new Center for Colorectal and Pelvic Reconstruction at Nationwide Children's, the first known center in the world to perform sacral nerve stimulation for patients with the birth defect, imperforate anus, recently received The Sheikh Zayed Institute Award for Innovation in Pediatric Surgery from the American Pediatric Surgical Association for his work with this procedure.

Sacral nerve stimulation is only considered for patients meeting specific criteria, and only after traditional treatment methods have been explored.

"Our success rate so far has been that 90 percent of the kids are completely better and can function without washouts or catheters," said Dr. Teich. "This raises the bar for kids who think they are going to have to spend the rest of their lives with severe urine or bowel problems. Families are relieved that there is another option for them."


Story Source:

The above story is based on materials provided by Nationwide Children's Hospital. Note: Materials may be edited for content and length.


Cite This Page:

Nationwide Children's Hospital. "Sacral nerve stimulation gives pediatric patients hope." ScienceDaily. ScienceDaily, 16 June 2014. <www.sciencedaily.com/releases/2014/06/140616130335.htm>.
Nationwide Children's Hospital. (2014, June 16). Sacral nerve stimulation gives pediatric patients hope. ScienceDaily. Retrieved April 1, 2015 from www.sciencedaily.com/releases/2014/06/140616130335.htm
Nationwide Children's Hospital. "Sacral nerve stimulation gives pediatric patients hope." ScienceDaily. www.sciencedaily.com/releases/2014/06/140616130335.htm (accessed April 1, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, April 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

7-Year-Old Girl Gets 3-D Printed 'robohand'

7-Year-Old Girl Gets 3-D Printed 'robohand'

AP (Mar. 31, 2015) — Although she never had much interest in prosthetic limbs before, Faith Lennox couldn&apos;t wait to slip on her new robohand. The 7-year-old, who lost part of her left arm when she was a baby, grabbed it as soon as it came off a 3-D printer. (March 31) Video provided by AP
Powered by NewsLook.com
Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins