Impact of Proctor Specialist on Scrub Nurse Experience in Sacral Neuromodulation Implant

Abstract

Sacral neuromodulation (SNM) is a well-established treatment for chronic lower urinary tract dysfunction (LUTD), including urge urinary incontinence, urgency frequency syndrome and dysfunctional voiding with nonobstructive urinary retention. Despite its efficacy, the precise mechanism of SNM remains unknown. Effective use of SNM hinges on precise electrode placement near the S3 or S4 sacral spinal nerves and proper programming of the neurostimulator. With advancements in technology, SNM devices have become more efficient, and their application is endorsed by the European Association of Urology (EAU). The increasing complexity of SNM devices necessitates enhanced training for healthcare professionals, highlighting the essential role of Proctor Specialists (PS) in the operating room (OR). PS provides critical technical and application support, ensuring optimal use of new neuromodulation devices and enhancing surgical outcomes. This study explores the impact of PS guidance on scrub nurses new to SNM through a self-administered questionnaire given to 30 nurses with 3–9 years of endourological experience. The results indicated high satisfaction with PS presence and introduction of new techniques, with 60% of nurses affirming a positive effect of PS on surgical outcomes, primarily through improved adherence to protocols, correct application of procedures, reduced operating times and effective management of new devices. Concerns were noted about managing procedures autonomously posttraining: nurses recommended increased educational sessions and postprocedure briefings for better integration of new technologies. This study underscores the positive impact of PSs in the OR, suggesting further research across various surgical contexts to validate these findings.