Sacral Neuromodulation for Urinary Retention in a Kidney-Transplant Patient

Abstract

Bladder outlet obstruction can negatively affect renal function in the kidney transplant population. Functional obstruction represents a clinical challenge as conventional treatments are either ineffective or not recommended. Sacral neuromodulation was successfully used in functional voiding dysfunction in a kidney transplant patient. This is the first case to be reported in the literature.

Sacral nerve stimulation to treat nonobstructive urinary retention in women

“…However, success with SNS has been reported in patients with many etiologies for urinary retention. For example, SNS has been successful following pelvic plexus injury [ 44 ], following suburethral sling surgery (in the absence of urethral hypersuspension [ 45 ], and in a patient with a defunctionalized bladder for many years following renal transplant [ 46 ]. I have had success treating several women with multiple sclerosis and detrusor acontractility, in a 41-year old woman with many years of retention secondary to insulin-dependent diabetes mellitus, and in a 42-year woman with spina bifi da who had been performing selfcatheterization her entire life.…”