Neuromodulation of Pelvic Visceral Pain: Review of the Literature and Case Series of Potential Novel Targets for Treatment

@article{Hunter2013NeuromodulationOP,
  title={Neuromodulation of Pelvic Visceral Pain: Review of the Literature and Case Series of Potential Novel Targets for Treatment},
  author={C. Hunter and N. Dav{\'e} and S. Diwan and T. Deer},
  journal={Pain Practice},
  year={2013},
  volume={13}
}
Chronic pelvic pain (CPP) is complex and often resistant to treatment. While the exact pathophysiology is unknown, the pain states resultant from conditions such as interstitial cystitis and the like yield patients with a presentation that bears a striking similarity to neuropathic syndromes that are known to respond to neuromodulation. While there has been past success using the sacral region as a target for spinal cord stimulation (SCS) to treat these patients, there remains to be a consensus… Expand
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The use of spinal cord stimulation (SCS) to treat pelvic pain has been met with frustration, as neuromodulators have experienced extreme difficulty in obtaining coverage over the areas of pain. Expand
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TLDR
Treatment options vary, but neuromodulation does remain a centerpiece and can include sacral stimulation, SCS, DRG stimulation, and PNS. Expand
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  • Medicine
  • Neuromodulation : journal of the International Neuromodulation Society
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TLDR
D dorsal root ganglion stimulation (DRGS) delivers targeted target to focal areas, does not rely on paresthesias, and is able to reliably capture body parts like the pelvis making it an ideal modality for the treatment of CPP. Expand
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TLDR
There is evidence that suggests neuromodulation may in fact be a viable treatment option for this particular patient population when utilized properly, and large-scale randomized, placebo-controlled clinical trials are warranted to evaluate the clinical efficacy and safety of the different treatments described. Expand
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TLDR
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TLDR
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Chronic Urogenital and Pelvic Pain
TLDR
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TLDR
This review briefly examines newly employed therapeutic options, while restating currently utilized options for chronic pelvic pain. Expand
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TLDR
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