• Int Urogynecol J · Oct 2010

    Case Reports

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

    • Tom Marcelissen, Philip Van Kerrebroeck, and Stefan de Wachter.
    • Department of Urology, Maastricht University Medical Center, Maastricht, The Netherlands.
    • Int Urogynecol J. 2010 Oct 1;21(10):1305-7.

    AbstractSacral 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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