BMC Urology, 2015 · DOI: 10.1186/s12894-015-0108-4 · Published: October 29, 2015
A man suffered a pelvic fracture in an accident, leading to an inability to urinate without a catheter. The case report explores if neuromodulation could help him regain spontaneous voiding. The patient underwent bilateral sacral neuromodulation, showing initial improvement. However, due to infection, the sacral implants were removed. Pudendal neurostimulation was then performed to avoid the infected areas. Following pudendal neurostimulation and a subsequent prostate procedure, the patient showed significant improvement in urinary flow and reduced residual urine, indicating a successful outcome.
Pudendal neuromodulation can be considered as a viable alternative when sacral neuromodulation fails or is contraindicated.
Pudendal neuromodulation can serve as a salvage method for infected sacral neuromodulation systems, restoring proper voiding function.
The successful use of pudendal neuromodulation can lead to improved urinary function and quality of life for patients with traumatic urinary retention.