Sacral Neuromodulation Unsuccessful For Pain Control After Failed Radical Cystectomy For Chronic Pelvic Pain

摘要

A 43-year-old female with chronic refractory interstitial cystitis (CT) and persistent pelvic pain/pressure status post-ileal conduit urinary diversion was treated successfully with sacral neuromodulation (InterStim?). Although the Food and Drug Administration (FDA) approved treatment of refractory urgency/frequency, urgency incontinence, and non-obstructive urinary retention, few patients have shown satisfactory results for the treatment of unremitting pelvic pain and pressure after cystectomy. This report of a patient with refractory urgency/frequency and pelvic pain was treated with radical cystectomy and ileal conduit urinary diversion. Her unremitting post-operative pelvic pain initially responded well to sacral neuromodulation. She underwent device removal 9 months later due to lack of efficacy.