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 Alo, Raka Gohel, Clyde L. Corey

Research output: Contribution to journalArticle

27 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 - May 21 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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