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 language | English |
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Pages (from-to) | 1305-1307 |
Journal | International Urogynecology Journal |
Volume | 21 |
Issue number | 10 |
DOIs | |
Publication status | Published - Oct 2010 |
Keywords
- Sacral neuromodulation
- Pelvic pain
- Clitoral pain