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Related Experiment Videos

Sacral neuromodulation for chronic pain conditions.

Claudio A Feler1, Louis A Whitworth, Julius Fernandez

  • 1Department of Neurosurgery, University of Tennessee at Memphis, 1211 Union Suite 200, Memphis, TN 38104, USA. cfeler@midsouth.rr.com

Anesthesiology Clinics of North America
|January 15, 2004
PubMed
Summary

Pelvic pain syndromes may be part of a spectrum of complex regional pain syndrome type I. Sacral nerve root stimulation offers effective relief for pain and urinary dysfunction, suggesting earlier use in treatment.

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Area of Science:

  • Urology
  • Neurology
  • Pain Medicine

Background:

  • Pelvic pain syndromes often share characteristics of neurogenic inflammation and neuropathic pain.
  • These conditions may represent a spectrum of clinical presentations rather than distinct diseases.

Observation:

  • Complex regional pain syndrome type I (CRPS I) of the pelvis is a potential unifying diagnosis.
  • Sacral nerve root stimulation demonstrates efficacy in alleviating pain and improving voiding dysfunction.

Findings:

  • Retrograde sacral nerve root stimulation may yield better outcomes with reduced complications compared to other techniques.
  • Neuromodulation appears to be a promising treatment for pelvic pain disorders.

Implications:

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  • Consider sacral nerve root stimulation earlier in the treatment algorithm for pelvic pain syndromes.
  • Neuromodulation may offer a less invasive alternative to procedures like hydrodistention, bladder installations, and cystectomies.