Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain
Abstract Background Sacral neuromodulation (SNM) is an established therapy in urology and gastroenterological surgery for treatment of overactive bladder symptoms, urge urinary incontinence or fecal incontinence. SNM has also been used with good results in patients with chronic pelvic pain (CPP). Ou...
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BMC
2025-04-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-025-03699-y |
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| author | Adrian Zegrea Emilia Ojala Jaan Kirss Pia Suvitie Pirita Varpe Johanna Mäkelä-Kaikkonen Tero Rautio Jaana Seikkula Mika Ukkonen Maija Lavonius Tarja Pinta |
| author_facet | Adrian Zegrea Emilia Ojala Jaan Kirss Pia Suvitie Pirita Varpe Johanna Mäkelä-Kaikkonen Tero Rautio Jaana Seikkula Mika Ukkonen Maija Lavonius Tarja Pinta |
| author_sort | Adrian Zegrea |
| collection | DOAJ |
| description | Abstract Background Sacral neuromodulation (SNM) is an established therapy in urology and gastroenterological surgery for treatment of overactive bladder symptoms, urge urinary incontinence or fecal incontinence. SNM has also been used with good results in patients with chronic pelvic pain (CPP). Our aim was to analyze long-term results of SNM in Finnish patients with endometriosis related CPP. Methods This is a register-based retrospective study including all the endometriosis patients treated with SNM for CPP in Finland between 2004 and 2017. There were four centers where these procedures were performed, two University Hospitals and two Central Hospitals. Long-term results were assessed by phone interview in spring 2021. Results A total of 16 women with endometriosis, with a median age of 39 (25–50) years, underwent SNM treatment for chronic pelvic pain (CPP), with the median follow-up time of 73 (48–85) months. The Implantable Pulse Generator (IPG) was implanted to 14 patients (88%). By the end of the follow-up period, 10 patients (62,5% of all patients and 71% of those who received IPG) had a functional SNM. Pain was assessed by numeral rating scale (NRS) and decreased from a median of 7.4 (3.6–10) to 2.3 (0-6.5). Conclusions SNM could be a good option in the treatment of endometriosis related chronic pelvic pain when standard therapy is not enough. |
| format | Article |
| id | doaj-art-9ad15dff1f214a3cb6cd4972a26d9efb |
| institution | DOAJ |
| issn | 1472-6874 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj-art-9ad15dff1f214a3cb6cd4972a26d9efb2025-08-20T03:10:18ZengBMCBMC Women's Health1472-68742025-04-012511610.1186/s12905-025-03699-yGood long-term results of sacral neuromodulation for endometriosis related chronic pelvic painAdrian Zegrea0Emilia Ojala1Jaan Kirss2Pia Suvitie3Pirita Varpe4Johanna Mäkelä-Kaikkonen5Tero Rautio6Jaana Seikkula7Mika Ukkonen8Maija Lavonius9Tarja Pinta10Seinäjoki Central HospitalTurku University Hospital and University of TurkuNorth Estonian Medical CentreTurku University Hospital and University of TurkuTurku University Hospital and University of TurkuOulu University HospitalOulu University HospitalJyväskylä Central HospitalJyväskylä Central HospitalTurku University Hospital and University of TurkuSeinäjoki Central HospitalAbstract Background Sacral neuromodulation (SNM) is an established therapy in urology and gastroenterological surgery for treatment of overactive bladder symptoms, urge urinary incontinence or fecal incontinence. SNM has also been used with good results in patients with chronic pelvic pain (CPP). Our aim was to analyze long-term results of SNM in Finnish patients with endometriosis related CPP. Methods This is a register-based retrospective study including all the endometriosis patients treated with SNM for CPP in Finland between 2004 and 2017. There were four centers where these procedures were performed, two University Hospitals and two Central Hospitals. Long-term results were assessed by phone interview in spring 2021. Results A total of 16 women with endometriosis, with a median age of 39 (25–50) years, underwent SNM treatment for chronic pelvic pain (CPP), with the median follow-up time of 73 (48–85) months. The Implantable Pulse Generator (IPG) was implanted to 14 patients (88%). By the end of the follow-up period, 10 patients (62,5% of all patients and 71% of those who received IPG) had a functional SNM. Pain was assessed by numeral rating scale (NRS) and decreased from a median of 7.4 (3.6–10) to 2.3 (0-6.5). Conclusions SNM could be a good option in the treatment of endometriosis related chronic pelvic pain when standard therapy is not enough.https://doi.org/10.1186/s12905-025-03699-yEndometriosisChronic pelvic painSacral neuromodulation |
| spellingShingle | Adrian Zegrea Emilia Ojala Jaan Kirss Pia Suvitie Pirita Varpe Johanna Mäkelä-Kaikkonen Tero Rautio Jaana Seikkula Mika Ukkonen Maija Lavonius Tarja Pinta Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain BMC Women's Health Endometriosis Chronic pelvic pain Sacral neuromodulation |
| title | Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| title_full | Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| title_fullStr | Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| title_full_unstemmed | Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| title_short | Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| title_sort | good long term results of sacral neuromodulation for endometriosis related chronic pelvic pain |
| topic | Endometriosis Chronic pelvic pain Sacral neuromodulation |
| url | https://doi.org/10.1186/s12905-025-03699-y |
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