An investigation into the relationship between program control frequency and satisfaction assessment subsequent to sacral neuromodulation, devising an optimal selection of programming control mode for patients

Zhang Y1, Meng L1, Wang J1, Wang Q2, Shi B3, Wei Z4, Song W5, Niu Y6, Tian X7

Research Type

Clinical

Abstract Category

Female Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 279
Urogynaecology 6 - Lower Urinary Tract Symptoms
Scientific Podium Short Oral Session 24
Saturday 20th September 2025
11:15 - 11:22
Parallel Hall 3
Neuromodulation Voiding Dysfunction Retrospective Study
1. Beijing Hospital, 2. the First Affiliated Hospital of Zhengzhou University, 3. Qilu hospital of Shandong University, 4. The Second Affiliated Hospital of Nanjing Medical University, 5. Shandong Provincial Hospital, 6. The Second Hospital of Tianjin Medical University, 7. Peking University Third Hospital
Presenter
Links

Abstract

Hypothesis / aims of study
Aimming to investigate the relationship between the frequency of postoperative programming control and patients’ satisfaction who underwent sacral neuromodulation (SNM) and completed impulse generator (IPG) placement, thereby facilitating the selection of program control mode following SNM operation.
Study design, materials and methods
This study collected population characteristics and program-controlled information from patients, including neurogenic lower urinary tract dysfunction (NLUTD), overactive bladder (OAB), neurogenic bowel dysfunction (NBD), and interstitial cystitis/bladder painful syndrome (IC/BPS), six months after IPG placement. The subjects were categorized into groups based on their treatment satisfaction, and the relationship between program control information and satisfaction evaluation of the two patient groups was analyzed to provide guidance for selecting programming control mode for post-SNM patients.
Results
All of the enrolled 423 patients underwent implantation of the IPG. We classified patients who expressed disatisfaction with SNM treatment into group A (n=191), while those who reported satisfaction were assigned to group B (n=232). The frequency of programming control during the six-month postoperative period was found to be significantly higher in patients belonging to group A compared to those in group B (P<0.001). The receiver operator characteristic (ROC) cueve analysis demonstrated that the frequency of progarmming control following SNM could serve as a predictive factor for patients’ satisfaction with treatment (AUC=0.88, cut-off value=3.5). Furthermore, the above findings demonstrated statistical significance in patients diagnosed with NLUTD (P<0.001), IC/BPS (P<0.001), NBD (0.014), and OAB (P=0.032). Simultaneously, the remote mode exhibits potential to augment patient satisfaction in cases where frequency are required more than three times (P=0.017).
Interpretation of results
The multi-center retrospective analysis revealed a inverse relationship between the frequency of programming control sessions and patients’ satisfaction with therapeutic treatment. For patients who require high programming control (more than three times) after IPG implantation, clinicians are advised to recommend the utilization of remote programming control mode to optimize the patient’s treatment experience.
Concluding message
The enhanced frequency of procedural control during the six-month period following IPG implantation has had an adverse impact on patient satisfaction. Moreover, for patients necessitating more than three procedures within a six-month timeframe, clinicians should consider recommending a remote programming mode to optimize and enhance treatment efficacy.
Disclosures
Funding National High Level Hospital Clinical Research Funding (LYS-2023-08, BJ-2024-181) and Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences (2023-JKCS-21) Clinical Trial No Subjects Human Ethics Committee Beijing Hospital Helsinki Yes Informed Consent Yes
07/07/2025 20:02:39