V12-03 StimWAVE ® FOR PUDENDAL NEURALGIA

Abstract

You have accessJournal of UrologyCME1 Apr 2023V12-03 StimWAVE® FOR PUDENDAL NEURALGIA Hailey Eisner, Nataljia Kovacevic, and Kenneth Peters Hailey EisnerHailey Eisner More articles by this author , Nataljia KovacevicNataljia Kovacevic More articles by this author , and Kenneth PetersKenneth Peters More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003347.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pudendal neuralgia is an often debilitating chronic pain condition. Up to 25% of these patients are refractory to the current treatments including medications, pelvic floor physical therapy, nerve blocks, sacral neuromodulation, and pudendal nerve entrapment surgery, thus indicating a need for alternative treatment modalities. StimWave® is a novel wireless powered nerve stimulator approved for implantation at any peripheral nerve. On demand adjustable frequency stimulation is performed by the patient in order to control peripheral nerve pain. We have developed a minimally invasive percutaneous technique to place the lead adjacent to the pudendal nerve for the treatment of pudendal neuralgia. This video describes the step-by-step technique of transgluteal StimWave® placement at the pudendal nerve. METHODS: The video was recorded during both the trial and permanent implant stages of transgluteal StimWave® placement for the treatment of bilateral pudendal neuralgia. RESULTS: Our institution recently published the results of this novel technique of placing a peripheral nerve stimulator at the pudendal nerve in order to treat pudendal neuralgia (Hoang Roberts 2021). Of the thirteen treatment refractory patients, 10/13 (76.9%) had >50% improvement in pain with 6/13 (46.1%) reporting 100% pain improvement. Post-operatively the patient in this video had an almost 100% resolution of her symptoms. CONCLUSIONS: In this video we demonstrated the step-by-step guide for a surgeon to perform this procedure. When implanted, patients with pudendal neuralgia refractory to the current treatment options can have a significant improvement in pain and increased quality of life. Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1065 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Hailey Eisner More articles by this author Nataljia Kovacevic More articles by this author Kenneth Peters More articles by this author Expand All Advertisement PDF downloadLoading ...