Sacral Nerve Root Stimulation for the Treatment of Pelvic and Rectal Pain

  • Timothy R. Deer


Sacral nerve root stimulation has been recognized as a treatment of pain of the pelvis, rectum, and perineum. It has been described for the treatment of intractable pain of the bladder for interstitial cystitis, and for pain after radiation to the pelvis and rectum, and for post surgical nerve entrapment. The sacral nerve targets are normally at S2, S3, and S4. This chapter focuses on the methods of obtaining lead placement and achieving an optimal outcome in this complicated patient population.


Nerve Root Interstitial Cystitis Sacral Nerve Stimulation Lead Placement Retrograde Approach 
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Suggested Reading

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    Feler C, Whitworth L, Brookoff D, et al. Recent advances: sacral nerve root stimulation using a retrograde method of lead insertion for the treatment of pelvic pain due to interstitial cystitis. Neuromodulation. 1999;2(3):211–216.PubMedCrossRefGoogle Scholar
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    Kim SH, Kim SH, Sang W, et al. Sacral nerve and spinal cord stimulation for intractable neuropathic pain caused by spinal cord infarction. Neuromodulation. 2007;10(4):369–372.PubMedCrossRefGoogle Scholar
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    Mayer R, Howard F. Sacral nerve stimulation: Neuromodulation for voiding dysfunction and pain. Neurotherapeutics. 2008;5(1):107–113.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Center for Pain ReliefCharlestonUSA

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