How does post-implant follow-up typically proceed in SNM therapy?

• A. Immediate device removal
• B. Initial activation with titration of amplitude, then scheduled follow-ups to optimize settings.
• C. No follow-up required
• D. Only annual imaging

Answer: (B)

Post-implant follow-up in sacral neuromodulation centers on getting the device working for the patient and then fine-tuning it. After implantation, the stimulator is activated and there’s an initial amplitude titration to achieve symptom relief while keeping stimulation comfortable. From there, scheduled follow-ups are used to optimize the settings—adjusting amplitude, pulse width, and frequency as needed, checking impedance and battery status, and making any lead programming adjustments if the response changes. This process happens over weeks to months to maximize symptom control and ensure the therapy remains tolerable and effective. Immediate removal, no follow-up, or relying only on imaging would not support achieving or maintaining the intended therapeutic benefit.