A case of lead migration after sacral neuromodulation with erosion into the rectum
We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442024002481 |
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| author | Bridget S. Kastelberg Madeline C. Donnelly George B. Smallfield, III Stephen P. Sharp Laura R. Carucci Adam P. Klausner |
| author_facet | Bridget S. Kastelberg Madeline C. Donnelly George B. Smallfield, III Stephen P. Sharp Laura R. Carucci Adam P. Klausner |
| author_sort | Bridget S. Kastelberg |
| collection | DOAJ |
| description | We present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead. Post removal, the patient returned to baseline urinary symptoms with the development of de novo fecal incontinence. This is the third reported case of sacral neuromodulation lead migration causing rectal perforation in the literature, and the only case managed with endoscopic closure of the rectal defect. |
| format | Article |
| id | doaj-art-74b4b201ccef4014bd02865aa6e8ae8b |
| institution | OA Journals |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-74b4b201ccef4014bd02865aa6e8ae8b2025-08-20T02:34:40ZengElsevierUrology Case Reports2214-44202025-01-015810289410.1016/j.eucr.2024.102894A case of lead migration after sacral neuromodulation with erosion into the rectumBridget S. Kastelberg0Madeline C. Donnelly1George B. Smallfield, III2Stephen P. Sharp3Laura R. Carucci4Adam P. Klausner5Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA; Corresponding author. Virginia Commonwealth University School of Medicine, Richmond, VA, USA.Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, USADivision of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University School of Medicine, Richmond, VA, USADivision of Colorectal Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Radiology, Virginia Commonwealth University School of Medicine, Richmond, VA, USADivision of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA, USAWe present a case of a 73-year-old female with medication refractory overactive bladder treated with the InterStim® sacral neuromodulation device. Five months post implantation she developed drainage over the lead site and rectal bleeding. Evaluation identified lead migration with rectal perforation requiring surgical removal of the battery and lead. Post removal, the patient returned to baseline urinary symptoms with the development of de novo fecal incontinence. This is the third reported case of sacral neuromodulation lead migration causing rectal perforation in the literature, and the only case managed with endoscopic closure of the rectal defect.http://www.sciencedirect.com/science/article/pii/S2214442024002481Sacral nerve modulationLead migrationOveractive bladderRectal perforation |
| spellingShingle | Bridget S. Kastelberg Madeline C. Donnelly George B. Smallfield, III Stephen P. Sharp Laura R. Carucci Adam P. Klausner A case of lead migration after sacral neuromodulation with erosion into the rectum Urology Case Reports Sacral nerve modulation Lead migration Overactive bladder Rectal perforation |
| title | A case of lead migration after sacral neuromodulation with erosion into the rectum |
| title_full | A case of lead migration after sacral neuromodulation with erosion into the rectum |
| title_fullStr | A case of lead migration after sacral neuromodulation with erosion into the rectum |
| title_full_unstemmed | A case of lead migration after sacral neuromodulation with erosion into the rectum |
| title_short | A case of lead migration after sacral neuromodulation with erosion into the rectum |
| title_sort | case of lead migration after sacral neuromodulation with erosion into the rectum |
| topic | Sacral nerve modulation Lead migration Overactive bladder Rectal perforation |
| url | http://www.sciencedirect.com/science/article/pii/S2214442024002481 |
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