Sacral neuromodulation and lower urinary tract dysfunction in cerebral palsy.
Given the emerging role of sacral neuromodulation in treatment of neurogenic voiding dysfunction, the author describes the use of sacral neuromodulation in a patient with voiding dysfunction caused by cerebral palsy (CP). A 45-year-old patient with cerebral palsy presented with progressive complaints of urgency and overflow incontinence and was found to be in retention. She underwent sacral neuromodulation and had complete resolution of her symptoms. The literature of lower urinary tract dysfunction in CP is reviewed. It is concluded that sacral neuromodulation may be a valuable tool in treating storage and voiding disorders associated with CP.
Roth
Ted M
TM
Women's Specialty Center of Central Maine Medical Center, 287 Main Street, Lewiston, ME 04240, USA. troth@maine.rr.com
D002547:Cerebral Palsy / Q000150:complications*; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008160:Lumbosacral Plexus; D008875:Middle Aged; D014549:Urinary Incontinence / Q000628:therapy; D053202:Urinary Incontinence, Urge / Q000628:therapy; D016055:Urinary Retention / Q000628:therapy; D014555:Urination Disorders / Q000628:therapy*