title: Novel Use of Pudendal Neuromodulation in a Pediatric Patient With Caudal Regression and Partial Sacral Agenesis for Refractory Bowel Bladder Dysfunction.
abstract: Sacral neuromodulation (SNM) has been used off-label in the United States for over a decade in the pediatric population. Many published studies have demonstrated efficacy with SNM in this population; however, a significant number of children with refractory bowel bladder dysfunction (BBD) also have underlying comorbidities. Children with certain spinal abnormalities pose a problem for the urologist treating BBD. Patients with caudal regression can have various sacral anomalies, making SNM challenging or impossible. We present the first case in the United States of pudendal neuromodulation in a pediatric BBD patient with caudal regression.
authors.affiliation: Department of Urology, William Beaumont Hospital, Royal Oak, MI. Electronic address: mschober@urologist.org.
authors.forename: Megan S
authors.initials: MS
authors.lastname: Schober
authors.affiliation: Section of Pediatric Urology, Nationwide Children's Hospital, Columbus, OH; Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Christina B
authors.initials: CB
authors.lastname: Ching
authors.affiliation: Department of Urology, William Beaumont Hospital, Royal Oak, MI.
authors.forename: Kenneth M
authors.initials: KM
authors.lastname: Peters
authors.affiliation: Section of Pediatric Urology, Nationwide Children's Hospital, Columbus, OH; Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Seth A
authors.initials: SA
authors.lastname: Alpert
mesh_terms: D000015:Abnormalities, Multiple; D002648:Child; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D058542:Implantable Neurostimulators; D007410:Intestinal Diseases / Q000209:etiology* / Q000628:therapy*; D008588:Meningocele / Q000150:complications*; D060525:Pudendal Nerve; D012445:Sacrococcygeal Region / Q000002:abnormalities*; D001743:Urinary Bladder; D001745:Urinary Bladder Diseases / Q000209:etiology* / Q000628:therapy*