医学
腰骶丛
大便失禁
脊柱裂
骶神经电刺激
外科
球海绵体反射
发育不全
耐火材料(行星科学)
反射
麻醉
物理
天体生物学
作者
Douglas Luchristt,Amie Kawasaki
出处
期刊:Case Reports
[BMJ]
日期:2023-09-01
卷期号:16 (9): e254835-e254835
标识
DOI:10.1136/bcr-2023-254835
摘要
A woman in her early 20s with a history of lumbosacral lipomyelomeningocele with associated partial sacral agenesis and tethered cord was referred for possible sacral neuromodulation treatment of her refractory faecal incontinence. Anorectal testing revealed a thinned and weakened anal sphincter complex with absent left-sided bulbocavernosus and anal wink reflexes. Through a two-stage approach, she underwent successful placement of a chronic tined quadripolar sacral nerve lead and implanted pulse generator. Despite significant distortion of normal bony anatomic landmarks, bilateral S3 and S4 foraminal entry was possible, with intraoperative motor and sensory testing providing key confirmation of appropriate lead placement. The patient had a substantial improvement in her baseline frequency and urgency with a near-complete resolution of faecal incontinence episodes during her test phase.
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