Sacral Neuromodulation in Pregnant Women—A Case Report and Literature Review

Jacek K. Szymański, Aneta Słabuszewska-Jóźwiak and Grzegorz Jakiel
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Jacek K. Szymański: First Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, ul. Żelazna 90, 01-004 Warsaw, Poland
Aneta Słabuszewska-Jóźwiak: First Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, ul. Żelazna 90, 01-004 Warsaw, Poland
Grzegorz Jakiel: First Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, ul. Żelazna 90, 01-004 Warsaw, Poland

IJERPH, 2022, vol. 19, issue 14, 1-9

Abstract: Millions of women around the world suffer from an overactive bladder and urinary retention. A significant number of them are of reproductive age. For 25 years, SNM has been an effective therapy for treatment-resistant hyperactive bladder and idiopathic urinary retention. The paper presents a case of a 35-year-old pregnant woman with an overactive bladder resistant to pharmacological treatment, who responded positively to sacral neuromodulation. The patient decided against deactivating the neuromodulator and, after an uneventful course of pregnancy, she gave birth by a caesarean section to a healthy female infant. The use of SNM in pregnant patients remains a constant clinical challenge. The current literature was reviewed, but published studies do not provide a clear answer. Further studies with a long follow-up period are necessary to determine more accurately the effects of SNM therapy on the fetus and the course of pregnancy. Currently, it is recommended to deactivate SNM during pregnancy. However, it seems that an individual approach to the patient with information on the risks and benefits of continuing or discontinuing therapy should be the current procedure.

Keywords: pregnancy; overactive bladder; urinary retention; sacral neuromodulation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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