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Title
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Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy
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Author
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Abstract
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| 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. |
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Language
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English
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Source (journal)
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International urogynecology journal / International Urogynecological Association. - London, 1990, currens
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Publication
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London
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2010
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ISSN
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0937-3462
[print]
1433-3023
[online]
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DOI
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10.1007/S00192-010-1145-X
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Volume/pages
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21
:10
(2010)
, p. 1305-1307
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ISI
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000281682900019
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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