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S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of
X Zuidema1, J Breel1, F Wille1
1Department of Anaesthesiology and Pain Medicine, Diakonessenhuis Utrecht/Zeist, Internal Post Box 53, P.O. Box 1002, 3700 BA, Zeist, Netherlands; Department of Anaesthesiology and Pain Medicine, Academic Medical Centre, P.O. Box 22660, 1100 DD Amsterdam, Netherlands.
Abstract:
Chronic perineal pain limits patients in physical and sexual activities, leading to social and psychological distress. In most cases, this pain develops after surgery in the urogenital area or as a consequence of trauma. Neuromodulation is one of the options in chronic postsurgical perineal pain treatment. We present a case of refractory perineal pain after right sided surgical resection of a Bartholin's cyst which was treated with third sacral nerve root/dorsal root ganglion stimulation using the transforaminal approach. We describe a new anchorless lead placement technique using a unique curved lead delivery sheath. We postulate that this new posterior foraminal technique of lead placement is simple, safe, and reversible and may lower the occurrence of lead related complications.
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