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Refractory Sexual Arousal Subsequent to Sacral Neuromodulation
- Source :
- Case Reports in Obstetrics and Gynecology, Case Reports in Obstetrics and Gynecology, Vol 2019 (2019)
- Publication Year :
- 2019
- Publisher :
- Hindawi Limited, 2019.
-
Abstract
- Background. Sacral neuromodulation has become a widely used treatment for lower urinary tract symptom and dysfunction. It has been observed to benefit sexual function in the domains of arousal and desire. Studies have yet to report markedly increased arousal symptoms as an adverse effect.Case. We present the case of a 57-year-old woman who developed symptomatic persistent genital arousal following implantation of a neuromodulator. Despite device reprogramming, a trial of the device being shut off, and eventual device removal, she continued to have residual new-onset undesired genital hyper-arousal symptoms.Conclusion. Our patient demonstrated markedly increased and persistent arousal symptoms that may be the result of upregulated or alternative activation of sacral nerve pathways. While other case reports describe improvement in persistent genital arousal disorder symptoms through neuromodulation, no studies mention hyperarousal symptoms as an adverse side effect after sacral neuromodulator placement nor persistence despite removal of the implant.
- Subjects :
- 030219 obstetrics & reproductive medicine
Side effect
business.industry
Sexual arousal
030232 urology & nephrology
Obstetrics and Gynecology
Case Report
medicine.disease
lcsh:Gynecology and obstetrics
Neuromodulation (medicine)
Arousal
03 medical and health sciences
Persistent genital arousal disorder
0302 clinical medicine
Anesthesia
medicine
Sex organ
Sexual function
Adverse effect
business
lcsh:RG1-991
Subjects
Details
- ISSN :
- 20906692 and 20906684
- Volume :
- 2019
- Database :
- OpenAIRE
- Journal :
- Case Reports in Obstetrics and Gynecology
- Accession number :
- edsair.doi.dedup.....a711b0d1ce43c811d6800617b464bbba