Sacral Nerve Stimulation for Treatment of Intractable Pain Associated with Cauda Equina Syndrome
Journal of Korean Neurosurgical Society
; : 473-476, 2010.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-200996
Biblioteca responsável:
WPRO
ABSTRACT
Sacral nerve stimulation (SNS) is an effective treatment for bladder and bowel dysfunction, and also has a role in the treatment of chronic pelvic pain. We report two cases of intractable pain associated with cauda equina syndrome (CES) that were treated successfully by SNS. The first patient suffered from intractable pelvic pain with urinary incontinence and fecal incontinence after surgery for a herniated lumbar disc. The second patient underwent surgery for treatment of a burst fracture and developed intractable pelvic area pain, right leg pain, excessive urinary frequency, urinary incontinence, voiding difficulty and constipation one year after surgery. A SNS trial was performed on both patients. Both patients' pain was significantly improved and urinary symptoms were much relieved. Neuromodulation of the sacral nerves is an effective treatment for idiopathic urinary frequency, urgency, and urge incontinence. Sacral neuromodulation has also been used to control various forms of pelvic pain. Although the mechanism of action of neuromodulation remains unexplained, numerous clinical success reports suggest that it is a therapy with efficacy and durability. From the results of our research, we believe that SNS can be a safe and effective option for the treatment of intractable pelvic pain with incomplete CES.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dor Intratável
/
Polirradiculopatia
/
Incontinência Urinária
/
Bexiga Urinária
/
Cauda Equina
/
Dor Pélvica
/
Neurotransmissores
/
Constipação Intestinal
/
Incontinência Urinária de Urgência
/
Incontinência Fecal
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2010
Tipo de documento:
Artigo