Title
Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
London ,
Subject
Human medicine
Source (journal)
International urogynecology journal / International Urogynecological Association. - London
Volume/pages
21(2010) :10 , p. 1305-1307
ISSN
0937-3462
ISI
000281682900019
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
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.
E-info
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