Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy

Tom Marcelissen, Philip E. V. A. Van Kerrebroeck, Stefan De Wachter*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

10 Citations (Web of Science)

Abstract

Sacral neuromodulation (SNM) may be beneficial in the treatment of patients with chronic pelvic pain, although it is not an FDA-approved indication. We present a case of a 51-year-old patient that presented with symptoms of lower urinary tract dysfunction and clitoral pain after an abdominal hysterectomy. Electrophysiological evaluation suggested a pudendal nerve lesion. After failure of conservative treatment, she was offered SNM as a treatment for her voiding symptoms. During test stimulation, she experienced only moderate improvement in voiding symptoms, but a striking improvement in pain symptoms. She underwent a two-stage implantation of a neurostimulator with a successful outcome after 6 months' follow-up. The results of this report suggest that SNM may be effective in patients with neuropathic pelvic pain.
Original languageEnglish
Pages (from-to)1305-1307
JournalInternational Urogynecology Journal
Volume21
Issue number10
DOIs
Publication statusPublished - Oct 2010

Keywords

  • Sacral neuromodulation
  • Pelvic pain
  • Clitoral pain

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