Experience of combined pudendal and sacral electrostimulation in a patient with chronic pelvic pain

Abstract

Treatment of patients with chronic pelvic pain is one of the most difficult tasks of modern medicine. Recently, surgical neuromodulation has been increasingly used to treat chronic pain syndrome. The positive experience of chronic sacral stimulation usage in patients with pelvic organ dysfunction accompanied by pain syndrome determines the appropriateness of further search for effective methods of chronic pelvic pain treatment, for example, its combination with stimulation of peripheral nerves. The article presents a clinical observation of a patient suffering from chronic pelvic pain for a long time, who underwent chronic electrical stimulation of the sacral roots in combination with sacral nerve stimulation. After the first year of treatment, a decrease in pain intensity on the visual analog scale from 8 to 3 points, depression on the Zips from 14 to 10 points and a decrease in the indicator on the anxiety scale from 14 to 11 points was observed. The patients quality of life was improved, pain attacks were decreased, daily motor activity was increased, self-service along with social communication indicators were improved and the need for medicines was decreased.