title: Sacral Neuromodulation: Foray into Chronic Pelvic Pain in End Stage Endometriosis.
abstract: Excision of all endometriotic lesions is the method of choice in the treatment of severe endometriosis resistant to medical therapy. The infiltrating nature of the disease as well as extensive surgery may, however, cause chronic pain that cannot be relieved by either surgery or hormonal treatment. As a pilot treatment, we tested the effect of sacral neuromodulation (SNM) for four endometriosis patients suffering chronic pelvic pain and pelvic organ dysfunction after radical surgical treatment. Three out of four patients reported improvement in their symptoms during the neuromodulation testing period and a permanent pulse generator was installed. After 2.5 years, all three patients report better quality of life and want to continue with SNM.
authors.affiliation: Department of Digestive Surgery and Department of Gynecology and Obstetrics, Turku University Hospital, Turku, Finland.
authors.forename: Maija
authors.identifier: 0000-0002-3690-7590
authors.initials: M
authors.lastname: Lavonius
authors.affiliation: Department of Digestive Surgery and Department of Gynecology and Obstetrics, Turku University Hospital, Turku, Finland.
authors.forename: Pia
authors.initials: P
authors.lastname: Suvitie
authors.affiliation: Department of Digestive Surgery and Department of Gynecology and Obstetrics, Turku University Hospital, Turku, Finland.
authors.forename: Pirita
authors.identifier: 0000-0001-7634-8722
authors.initials: P
authors.lastname: Varpe
authors.affiliation: Department of Digestive Surgery and Department of Gynecology and Obstetrics, Turku University Hospital, Turku, Finland.
authors.forename: Heikki
authors.identifier: 0000-0002-5573-1068
authors.initials: H
authors.lastname: Huhtinen