S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement

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 tre...

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Main Authors: X. Zuidema, J. Breel, F. Wille
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/8926578
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author X. Zuidema
J. Breel
F. Wille
author_facet X. Zuidema
J. Breel
F. Wille
author_sort X. Zuidema
collection DOAJ
description 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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series Case Reports in Neurological Medicine
spelling doaj-art-0f0f623e0c094679b208d9a78d7a06a22025-02-03T06:00:59ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/89265788926578S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead PlacementX. Zuidema0J. Breel1F. Wille2Department of Anaesthesiology and Pain Medicine, Diakonessenhuis Utrecht/Zeist, Internal Post Box 53, P.O. Box 1002, 3700 BA, Zeist, NetherlandsDepartment of Anaesthesiology and Pain Medicine, Diakonessenhuis Utrecht/Zeist, Internal Post Box 53, P.O. Box 1002, 3700 BA, Zeist, NetherlandsDepartment of Anaesthesiology and Pain Medicine, Diakonessenhuis Utrecht/Zeist, Internal Post Box 53, P.O. Box 1002, 3700 BA, Zeist, NetherlandsChronic 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.http://dx.doi.org/10.1155/2016/8926578
spellingShingle X. Zuidema
J. Breel
F. Wille
S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
Case Reports in Neurological Medicine
title S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
title_full S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
title_fullStr S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
title_full_unstemmed S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
title_short S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement
title_sort s3 dorsal root ganglion nerve root stimulation for refractory postsurgical perineal pain technical aspects of anchorless sacral transforaminal lead placement
url http://dx.doi.org/10.1155/2016/8926578
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