Type of Surgery
Last updated: 11/24/2009
Sacral nerve stimulation has been shown to be a safe and effective procedure for the treatment of both urinary and fecal incontinence. Two groups of researchers, in Spain and the United Kingdom respectively, have reported that "the effects of neuromodulation...
are long-lasting and associated morbidity is low." The most commonly reported complications of SNS are pain at the site of the implant (15.3% of patients), pain on urination (9%), and displacement of the leads (8.4%).
Much of the difficulty in brain surgery recovery comes with healing of the skull and covering of the brain. This video shows that a tumor in a particular location can be removed by entering through the nose, rather than the skull. The endoscopic endonasal approach or EEA is associated with rapid recovery times compared to most other types of brain surgery.
Sacral nerve stimulation, also termed sacral neuromodulation, involves the implantation of a programmable stimulator under the dura matar which delivers low amplitude electrical stimulation to the S3 or S4 root. Currently, the FDA has approved InterStim Therapy, by Medtronic, as a safe sacral nerve stimulator for treatment of Urinary Urge Incontinence, Urinary Frequency, and Urinary Retention. Sacral nerve stimulation is under investigation as treatment for a host of other conditions, though.
Surgery for removal is generally advised for patients with limited cancer elsewhere in the body and a single brain metastasis.
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