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Int Urogynecol J. 2010 Oct;21(10):1305-7. doi: 10.1007/s00192-010-1145-x. Epub 2010 Apr 13.

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

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  • 1Department of Urology, Maastricht University Medical Center, Maastricht, The Netherlands.


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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