B1 Non-refereed article in a scientific journal

Sacral Neuromodulation: Foray into Chronic Pelvic Pain in End Stage Endometriosis




AuthorsLavonius M, Suvitie P, Varpe P, Huhtinen H

PublisherHINDAWI LTD

Publication year2017

JournalCase Reports in Neurological Medicine

Journal name in sourceCASE REPORTS IN NEUROLOGICAL MEDICINE

Journal acronymCASE REP NEUROL MED

Article numberARTN 2197831

Number of pages4

ISSN2090-6668

DOIhttps://doi.org/10.1155/2017/2197831

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/20708163


Abstract
Copyright (C) 2017 Maija Lavonius et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Excision of all endometriotic lesions is the method of choice in the treatment of severe endometriosis resistant to medical therapy. The infiltrating nature of the disease as well as extensive surgery may, however, cause chronic pain that cannot be relieved by either surgery or hormonal treatment. As a pilot treatment, we tested the effect of sacral neuromodulation (SNM) for four endometriosis patients suffering chronic pelvic pain and pelvic organ dysfunction after radical surgical treatment. Three out of four patients reported improvement in their symptoms during the neuromodulation testing period and a permanent pulse generator was installed. After 2.5 years, all three patients report better quality of life and want to continue with SNM.

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