Work

A case of lead migration after sacral neuromodulation with erosion into the rectum

Year: 2024

Type: article

Abstract: 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. • Lead migration is a rare complication of sacral neuromodulation. • This case involves sacral neuromodulation with lead migration and rectal perforation. • The patient presented with abdominal pain and hematochezia five months post-op. • Rectal perforation was corrected with endoscopic closure.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2024.102894

Authors: Bridget S. Kastelberg, Madeline C. Donnelly, George B. Smallfield, Stephen P. Sharp, Laura R. Carucci, Adam P. Klausner

Institutions: Virginia Commonwealth University, Virginia Commonwealth University Medical Center

Language: English

Topic: Urinary Bladder and Prostate Research

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,060