Sacral Neuromodulation (SNM)
An implanted device delivers gentle electrical pulses to sacral nerves controlling the bowel and sphincter - achieving 60-80% significant improvement in faecal incontinence. Available at Lux Hospitals, Hyderabad.
What is Sacral Neuromodulation (SNM)?
Sacral Neuromodulation (SNM) involves implanting a small device that delivers mild, controlled electrical stimulation to the S3 sacral nerve root via a percutaneous electrode - modulating neural signalling between the sacral nerves, the bowel, and the sphincter complex. This improves sphincter tone, rectal sensation, and coordinated muscle function.
Dr. Samhitha Reddy offers SNM at Lux Hospitals, Hyderabad for patients with faecal incontinence that has not responded to conservative measures. As part of the fecal incontinence treatment in Hyderabad programme, it is performed in two stages - a test stimulation phase followed by permanent implant placement if >50% improvement is demonstrated.
SNM is a staged procedure - a percutaneous nerve evaluation trial is performed first to confirm efficacy before permanent implant placement. Patients who do not achieve >50% improvement in the trial phase do not proceed to permanent implantation.
How the Procedure Works
Percutaneous Nerve Evaluation (Trial Phase)
A temporary lead is placed at S3 foramen under local anaesthesia. The patient wears a small external stimulator for 2-4 weeks. Bowel diary and incontinence episodes are recorded.
Response Assessment
If >50% improvement is documented during the trial, the patient proceeds to permanent implant placement.
Permanent Lead Placement
Under brief general or spinal anaesthesia, a permanent tined lead is placed at S3 foramen under fluoroscopic guidance - confirming optimal stimulation response.
Implantable Pulse Generator (IPG)
The IPG (battery device) is implanted subcutaneously in the upper buttock and connected to the lead. Programming is adjusted to optimal stimulation parameters.
Post-operative Programming
The device is programmed in the outpatient setting. Parameters are adjusted at follow-up visits to optimise continence improvement. Battery lasts 5-10 years.
Outcomes
Who Needs This Treatment?
- →60-80% of patients achieve significant reduction in faecal incontinence episodes
- →Reversible - device can be reprogrammed or removed if needed
- →Minimally invasive - no muscle repair or rectal manipulation
- →Test phase before permanent implant - proceeds only if proven to work
- →Effective for neurogenic and idiopathic incontinence with intact sphincter anatomy
- →Available at Lux Hospitals, Hyderabad with specialist programming support
Sacral neuromodulation is a transformative treatment for faecal incontinence. The ability to test the device before committing to permanent implantation - and the remarkable quality-of-life improvement that follows successful stimulation - makes it one of the most patient-centred interventions in colorectal surgery.
— - Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon
Sacral Neuromodulation (SNM) Cost in Hyderabad
The cost of sacral neuromodulation (SNM) in Hyderabad depends on the severity of bowel incontinence, response to previous treatments, device requirements, investigations needed, and the care required before and after the procedure.
For patients with refractory bowel incontinence that does not improve with conservative treatments, the approximate cost of sacral neuromodulation ranges between ₹6,00,000 and ₹12,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| Sacral Neuromodulation (SNM) | ₹6,00,000 – ₹12,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, type of device used, and whether any additional procedures are required.
Factors That Influence Sacral Neuromodulation (SNM) Cost
The overall cost may depend on:
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Severity of incontinence: The frequency of symptoms, impact on daily activities, and response to previous treatments may influence treatment planning.
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Pre-procedure evaluation: Required investigations, clinical examination, anorectal assessment, and medical evaluations before the procedure may affect the overall cost.
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Device and procedure requirements: The type of neuromodulation device, trial stimulation, permanent implant requirements, and associated procedures may influence the cost.
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Hospital stay and post-procedure care: The duration of admission, device monitoring, medicines, and follow-up requirements may influence the final estimate.
Is Sacral Neuromodulation (SNM) Covered by Insurance?
Sacral neuromodulation (SNM) may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether sacral neuromodulation (SNM) is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.