Sacral nerve root stimulation for the treatment of urge incontinence and detrusor dysfunction utilizing a cephalocaudal intraspinal method of lead insertion: A case report

Kenneth M. Aló, Raka Gohel, Clyde L. Corey

    Research output: Contribution to journalArticlepeer-review

    36 Scopus citations

    Abstract

    Sacral nerve root stimulation (SNRS) is known to be effective in the treatment of pelvic motor dysfunction(1-4). Bladder and urethral motor disorders commonly treated include urinary urge incontinence, voiding/detrusor dysfunction, and urgency/frequency syndromes. To date, neurostimulation specific to bladder and urethral dysfunction has applied a unilateral, trans-sacral approach. (Interstim, Medtronic, Minneapolis, MN) Despite some success, this method has been associated with technical failures in maintaining electrode position(5,6). As an alternative, this case report describes the selective epidural application of a cephalocaudal ("retrograde") lead insertion method in a patient with severe detrusor dysfunction and urinary urge incontinence(7).

    Original languageEnglish (US)
    Pages (from-to)53-58
    Number of pages6
    JournalNeuromodulation
    Volume4
    Issue number2
    DOIs
    StatePublished - 2001

    Keywords

    • Pelvic motor/floor dysfunction
    • Peripheral nerve stimulation
    • Pudendal neuralgia
    • Selective nerve root stimulation
    • Urge incontinence
    • Urinary retention
    • Voiding dysfunction

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine
    • Neuroscience(all)

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