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- Title
Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy.
- Authors
Marcelissen, Tom; Van Kerrebroeck, Philip; de Wachter, Stefan
- 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.
- Publication
International urogynecology journal, 2010, Vol 21, Issue 10, p1305
- ISSN
1433-3023
- Publication type
Journal Article
- DOI
10.1007/s00192-010-1145-x