title: Sacral neuromodulation for urinary retention caused by sexual abuse.
abstract: OBJECTIVE
  This case report describes the use of sacral neuromodulation to treat urinary retention after sexual abuse.
  
  
  METHODS
  Sacral neuromodulation was added to therapeutic regimen of a 38-year-old woman in whom chronic, complete urinary retention developed after psychological and sexual abuse during childhood.
  
  
  RESULTS
  The combination of psychotherapy and neuromodulation restored the patient's ability to void, whereas psychotherapy alone had not.
  
  
  CONCLUSIONS
  Although a multifactorial etiology of retention cannot be ruled out in this patient, neuromodulation might effectively treat urinary retention in cases of a conversion disorder after sexual abuse.
authors.affiliation: Department of Urology, Westfälische Wilhelms-Universität, Münster, Germany. sekretariat.uro@friederikenstift.de
authors.forename: B
authors.initials: B
authors.lastname: von Heyden
authors.forename: R
authors.initials: R
authors.lastname: Steinert
authors.forename: H W
authors.initials: HW
authors.lastname: Bothe
authors.forename: L
authors.initials: L
authors.lastname: Hertle
mesh_terms: D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D005260:Female; D006801:Humans; D019736:Prostheses and Implants; D012447:Sacrum / Q000502:physiology*; D016055:Urinary Retention / Q000209:etiology* / Q000503:physiopathology*