Sacral Neuromodulation in Pregnant Women—A Case Report and Literature Review
Abstract
:1. Introduction
2. Aim
3. Case Report
4. Materials and Methods
5. Results
6. Discussion
6.1. Animal Studies
6.2. Safety of Conception
6.3. Impact on Pregnancy Duration
6.4. Complications with Keeping the Device On/Off
6.5. Mode of Delivery
6.6. Efficacy of SNM after Delivery
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Milsom, I.; Abrams, P.; Cardozo, L.; Roberts, R.; Thüroff, J.; Wein, A. How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int. 2001, 87, 760–766. [Google Scholar] [CrossRef] [PubMed]
- Stewart, W.; Van Rooyen, J.; Cundiff, G.; Abrams, P.; Herzog, A.; Corey, R.; Hunt, T.; Wein, A. Prevalence and burden of overactive bladder in the United States. World J. Urol. 2003, 20, 327–336. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Coyne, K.S.; Sexton, C.C.; Vats, V.; Thompson, C.; Kopp, Z.S.; Milsom, I. National Community Prevalence of Overactive Bladder in the United States Stratified by Sex and Age. Urology 2011, 77, 1081–1087. [Google Scholar] [CrossRef]
- Coyne, K.S.; Sexton, C.C.; Bell, J.A.; Thompson, C.L.; Dmochowski, R.; Bavendam, T.; Chen, C.-I.; Clemens, J.Q. The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB-POLL. Neurourol. Urodyn. 2013, 32, 230–237. [Google Scholar] [CrossRef] [Green Version]
- Doran, J.; Roberts, M. Acute Urinary Retention in the Female. Br. J. Urol. 1975, 47, 793–796. [Google Scholar] [CrossRef]
- Osman, N.I.; Chapple, C.R. Fowler’s syndrome—A cause of unexplained urinary retention in young women? Nat. Rev. Urol. 2014, 11, 87–89. [Google Scholar] [CrossRef] [PubMed]
- Tanagho, E.A.; Schmidt, R.A. Bladder pacemaker: Scientific basis and clinical future. Urology 1982, 20, 614–619. [Google Scholar] [CrossRef]
- Tanagho, E.A.; RSchmidt, R.A. Controlled voiding with neurostimulation. J. Urol. 1986, 135, A262. [Google Scholar]
- Wróbel, A.; Skorupska, K.; Rechberger, E.; Woźniak, A.; Miotla, P.; Kubik-Komar, A.; Skorupski, P.; Rechberger, T. Reliability of the Polish version of the Overactive Bladder Symptom Score (OABSS) questionnaire: Correlation of the OABSS with urodynamic study and the UDI-6 and IIQ-7 questionnaires. Int. Urogynecol. J. 2019, 30, 2135–2139. [Google Scholar] [CrossRef] [Green Version]
- Karsdon, J.; Garfield, R.E.; Shi, S.-Q.; Maner, W.; Saade, G. Electrical inhibition of preterm birth: Inhibition of uterine contractility in the rabbit and pup births in the rat. Am. J. Obstet. Gynecol. 2005, 193, 1986–1993. [Google Scholar] [CrossRef]
- Kothari, T.H.; Maner, W.L.; Shi, S.; Garfield, R.; Chen, J. Inhibitory effects of electrical stimulation on delivery in pregnant rats. Eur. J. Obstet. Gynecol. Reprod. Biol. 2008, 141, 18–22. [Google Scholar] [CrossRef] [PubMed]
- Wang, Y.; Hassouna, M.M. Electrical stimulation has no adverse effect on pregnant rats and fetuses. J. Urol. 1999, 162, 1785–1787. [Google Scholar] [CrossRef]
- Khunda, A.; Karmarkar, R.; Abtahi, B.; Gonzales, G.; Elneil, S. Pregnancy in women with Fowler’s syndrome treated with sacral neuromodulation. Int. Urogynecol. J. 2013, 24, 1201–1204. [Google Scholar] [CrossRef]
- Ansó, M.; Veiga-Gil, L.; De Carlos, J.; Hualde, A.; Pérez-Cajaraville, J. Neuraxial analgesia in a pregnant woman with Fowler’s syndrome and sacral neuromodulation. Int. J. Obstet. Anesth. 2017, 30, 58–61. [Google Scholar] [CrossRef] [PubMed]
- Mamopoulos, A.; Stavrakis, T.; Mavromatidis, G.; Rousso, D. Active sacral neuromodulator during pregnancy: A unique case report. Am. J. Obstet. Gynecol. 2014, 211, e4–e5. [Google Scholar] [CrossRef]
- Agnello, M.; Vottero, M.; Bertapelle, P. Do you really want to deactivate your sacral neuromodulation device during pregnancy? A single center case series. Int. Urogynecol. J. 2021, 32, 709–717. [Google Scholar] [CrossRef]
- Bernardini, D.J.; Pratt, S.D.; Takoudes, T.C.; Simopoulos, T.T. Spinal Cord Stimulation and the Pregnant Patient-Specific Considerations for Management: A Case Series and Review of the Literature. Neuromodul. Technol. Neural Interface 2010, 13, 270–274. [Google Scholar] [CrossRef]
- El-Khawand, D.; Montgomery, O.C.; Wehbe, S.A.; Whitmore, K.E. Sacral Nerve Stimulation during Pregnancy: Case Report and Review of the Literature. Female Pelvic Med. Reconstr. Surg. 2012, 18, 127–129. [Google Scholar] [CrossRef]
- Mahran, A.; Soriano, A.; Safwat, A.S.; Hijaz, A.; Mahajan, S.T.; Trabuco, E.C.; Siegel, S.W.; El-Nashar, S.A. The effect of sacral neuromodulation on pregnancy: A systematic review. Int. Urogynecol. J. 2017, 28, 1357–1365. [Google Scholar] [CrossRef]
- Yaiesh, S.M.; Al-Terki, A.E.; Al-Shaiji, T.F. Safety of Sacral Nerve Stimulation in Pregnancy: A Literature Review. Neuromodul. Technol. Neural Interface 2016, 19, 770–779. [Google Scholar] [CrossRef]
- Oelke, M.; Addali, M.; Reisenauer, C. What uro-gynecologists should know about sacral neuromodulation (SNM) for the treatment of refractory overactive bladder. Arch. Gynecol. Obstet. 2019, 299, 1243–1252. [Google Scholar] [CrossRef]
- Banakhar, M.; Al-Shaiji, T.; Hassouna, M. Challenges in Sacral Neuromodulation. In Topics in Neuromodulation Treatment; Carrillo-Ruiz, J., Ed.; IntechOpen: London, UK, 2012. [Google Scholar] [CrossRef] [Green Version]
- Singer, H.S. Tics and Tourette Syndrome. Continuum 2019, 25, 936–958. [Google Scholar] [CrossRef] [PubMed]
- Hodgkin, W. Pilonidal sinus disease. J. Wound Care 1998, 7, 481–483. [Google Scholar] [CrossRef] [PubMed]
- Elias, D.; Gimenez, L.; Poletta, F.; Campaña, H.; Gili, J.; Ratowiecki, J.; Pawluk, M.; Rittler, M.; Santos, M.R.; Uranga, R.; et al. Preterm birth and genitourinary tract infections: Assessing gene-environment interaction. Pediatr. Res. 2021, 90, 678–683. [Google Scholar] [CrossRef] [PubMed]
- Dautt-Leyva, J.G.; Canizalez-Román, A.; Alfaro, L.F.A.; Gonzalez-Ibarra, F.; Murillo-Llanes, J. Maternal and perinatal complications in pregnant women with urinary tract infection caused by Escherichia coli. J. Obstet. Gynaecol. Res. 2018, 44, 1384–1390. [Google Scholar] [CrossRef]
- Roulette, P.; Castel-Lacanal, E.; Sanson, S.; Caremel, R.; Phé, V.; Bart, S.; Duchêne, F.; De Sèze, M.; Even, A.; Manunta, A.; et al. Sacral neuromodulation and pregnancy: Results of a national survey carried out for the neuro-urology committee of the French Association of Urology (AFU). Neurourol. Urodyn. 2018, 37, 792–798. [Google Scholar] [CrossRef]
Study | Number of Pregnancies | Type of Neuromodulation | Indication for Treatment | Course of SNM in Pregnancy | Complications | Delivery Mode | Fetal Abnormalities | Device Sustainability |
---|---|---|---|---|---|---|---|---|
Khunda et al., 2013 [13] | 13 | SNM | Fowler’s syndrome | 10—off (1 before IVF procedure, 7 in 1st trimester, 2 in 2nd trimester) 3—on | 1—miscarriage (IVF) 9—CUR 4—rUTIs Not reported | Preterm: 5—CS At term: 1—CS, 2—SVD, 1—forceps At term: 2—CS, 1—SVD | Not observed Not observed | 5—yes 4—no 1—device not restarted (normal voiding) yes |
Anso et al., 2017 [14] | 1 | SNM | Fowler’s syndrome | Off in 1st trimester | CUR, rUTIs | SVD | Not observed | yes |
Mamopoulos et al., 2014 [15] | 1 | SNM | Chronic urinary retention | On throughout | Not reported | CS | Not observed | yes |
Agnello et al., 2021 [16] | 14 | SNM | 7—urinary retention 4—dysfunctional voiding | 5—off in 1st trimester 2—off temporarily in 2nd and 3rd trimester 7—on throughout | CUR rUTIs CUR 2—UTIs (correct bladder emptying) 5—not reported | Preterm: 1—SVD At term: 1—SVD 3—CS Preterm: 2—CS Preterm 1—CS At term: 1—SVD 6—CS | 4—Not observed 1—Psychomotor developmental delay Not observed Not observed | 2—no (1 removal) 3—yes yes yes |
Bernardini et al., 2010 [17] | 3 | SCS | 3—CPRS | 2—off in 1st trimester 1—off in 1st trimester/on in 3rd | 3—Pain | 1—SVD 2—CS | Not observed | yes |
El-Khawand et al., 2012 [18] | 2 | SNM | Bladder Pain Syndrome | 2—on | Not reported | 2—CS | 1—motor tic (at 2 years of age) 1—pilonidal sinus | yes |
Mahran et al., 2017 [19] | 26 | SNM | 14—Fowler’s syndrome 1—fecal incontinence 1—OAB 1—fecal and urinary urgency 6—urinary retention 2—interstitial cystitis 1—myelodysplasia | 15—off in 1st trimester 4—off before conception 5—on | 1—miscarriage (IVF) 17—CUR, rUTIs 2—not reported Not reported | Preterm: 6—CS At term: 5—CS 7—SVD 1—forceps 1—vacuum At term: 5—CS | Not observed 1—motor tic 1—pilonidal sinus 3—not observed | 14—yes 3—reprograming 1—revision 3—replacement 4—removal (2-asymptomatic; 2-dyssatisfied) |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Szymański, J.K.; Słabuszewska-Jóźwiak, A.; Jakiel, G. Sacral Neuromodulation in Pregnant Women—A Case Report and Literature Review. Int. J. Environ. Res. Public Health 2022, 19, 8340. https://doi.org/10.3390/ijerph19148340
Szymański JK, Słabuszewska-Jóźwiak A, Jakiel G. Sacral Neuromodulation in Pregnant Women—A Case Report and Literature Review. International Journal of Environmental Research and Public Health. 2022; 19(14):8340. https://doi.org/10.3390/ijerph19148340
Chicago/Turabian StyleSzymański, Jacek K., Aneta Słabuszewska-Jóźwiak, and Grzegorz Jakiel. 2022. "Sacral Neuromodulation in Pregnant Women—A Case Report and Literature Review" International Journal of Environmental Research and Public Health 19, no. 14: 8340. https://doi.org/10.3390/ijerph19148340