Refractory Sexual Arousal Subsequent to Sacral Neuromodulation
Background. Sacral neuromodulation has become a widely used treatment for lower urinary tract symptom and dysfunction. It has been observed to benefit sexual function in the domains of arousal and desire. Studies have yet to report markedly increased arousal symptoms as an adverse effect. Case. We p...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/7519164 |
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| author | Dani Zoorob Amanda S. Deis Kathryn Lindsay |
| author_facet | Dani Zoorob Amanda S. Deis Kathryn Lindsay |
| author_sort | Dani Zoorob |
| collection | DOAJ |
| description | Background. Sacral neuromodulation has become a widely used treatment for lower urinary tract symptom and dysfunction. It has been observed to benefit sexual function in the domains of arousal and desire. Studies have yet to report markedly increased arousal symptoms as an adverse effect. Case. We present the case of a 57-year-old woman who developed symptomatic persistent genital arousal following implantation of a neuromodulator. Despite device reprogramming, a trial of the device being shut off, and eventual device removal, she continued to have residual new-onset undesired genital hyper-arousal symptoms. Conclusion. Our patient demonstrated markedly increased and persistent arousal symptoms that may be the result of upregulated or alternative activation of sacral nerve pathways. While other case reports describe improvement in persistent genital arousal disorder symptoms through neuromodulation, no studies mention hyperarousal symptoms as an adverse side effect after sacral neuromodulator placement nor persistence despite removal of the implant. |
| format | Article |
| id | doaj-art-01c97dccf3654197b0bd71f37dbae86b |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-01c97dccf3654197b0bd71f37dbae86b2025-02-03T01:00:26ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/75191647519164Refractory Sexual Arousal Subsequent to Sacral NeuromodulationDani Zoorob0Amanda S. Deis1Kathryn Lindsay2Department of Obstetrics and Gynecology, University of Toledo, 2142 N. Cove Blvd., Toledo OH 43606, USADepartment of Anesthesiology and Perioperative Medicine, University of Pittsburg, A-1305 Scaife Hall, 3550 Terrace Street, Pittsburgh, PA 15261, USADepartment of Obstetrics and Gynecology, University of Oklahoma, 825 NE 10th St, Oklahoma City, OK 73104, USABackground. Sacral neuromodulation has become a widely used treatment for lower urinary tract symptom and dysfunction. It has been observed to benefit sexual function in the domains of arousal and desire. Studies have yet to report markedly increased arousal symptoms as an adverse effect. Case. We present the case of a 57-year-old woman who developed symptomatic persistent genital arousal following implantation of a neuromodulator. Despite device reprogramming, a trial of the device being shut off, and eventual device removal, she continued to have residual new-onset undesired genital hyper-arousal symptoms. Conclusion. Our patient demonstrated markedly increased and persistent arousal symptoms that may be the result of upregulated or alternative activation of sacral nerve pathways. While other case reports describe improvement in persistent genital arousal disorder symptoms through neuromodulation, no studies mention hyperarousal symptoms as an adverse side effect after sacral neuromodulator placement nor persistence despite removal of the implant.http://dx.doi.org/10.1155/2019/7519164 |
| spellingShingle | Dani Zoorob Amanda S. Deis Kathryn Lindsay Refractory Sexual Arousal Subsequent to Sacral Neuromodulation Case Reports in Obstetrics and Gynecology |
| title | Refractory Sexual Arousal Subsequent to Sacral Neuromodulation |
| title_full | Refractory Sexual Arousal Subsequent to Sacral Neuromodulation |
| title_fullStr | Refractory Sexual Arousal Subsequent to Sacral Neuromodulation |
| title_full_unstemmed | Refractory Sexual Arousal Subsequent to Sacral Neuromodulation |
| title_short | Refractory Sexual Arousal Subsequent to Sacral Neuromodulation |
| title_sort | refractory sexual arousal subsequent to sacral neuromodulation |
| url | http://dx.doi.org/10.1155/2019/7519164 |
| work_keys_str_mv | AT danizoorob refractorysexualarousalsubsequenttosacralneuromodulation AT amandasdeis refractorysexualarousalsubsequenttosacralneuromodulation AT kathrynlindsay refractorysexualarousalsubsequenttosacralneuromodulation |