Novel Use of Pudendal Neuromodulation in a Pediatric Patient With Caudal Regression and Partial Sacral Agenesis for Refractory Bowel Bladder Dysfunction.
- Resource Type
- journal article
- Authors
- Schober, Megan S.; Ching, Christina B.; Peters, Kenneth M.; Alpert, Seth A.
- Source
- Urology. Aug2016, Vol. 94 Issue 1, p224-226. 3p.
- Subject
- *PUDENDAL nerve
*NEURAL stimulation
*INTESTINAL diseases
*CAUDAL regression syndrome
*PEDIATRICS
*PATIENTS
*BLADDER disease treatment
*INTESTINAL disease treatment
*BACK
*BLADDER
*BLADDER diseases
*ELECTRODES
*ELECTROTHERAPEUTICS
*ARTIFICIAL implants
*NEURAL tube defects
*MULTIPLE human abnormalities
*LUMBOSACRAL plexus
*DISEASE complications
- Language
- ISSN
- 0090-4295
Sacral neuromodulation (SNM) has been used off-label in the United States for over a decade in the pediatric population. Many published studies have demonstrated efficacy with SNM in this population; however, a significant number of children with refractory bowel bladder dysfunction (BBD) also have underlying comorbidities. Children with certain spinal abnormalities pose a problem for the urologist treating BBD. Patients with caudal regression can have various sacral anomalies, making SNM challenging or impossible. We present the first case in the United States of pudendal neuromodulation in a pediatric BBD patient with caudal regression. [ABSTRACT FROM AUTHOR]