Retroperitoneal Hemorrhage After Sacral Neurostimulator Placement for Urgency Urinary Incontinence
| Autor: | Martin S. Vyleta, Anubhav Agrawal, Sean L. Francis, Deslyn T.G. Hobson, Casey L. Kinman |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Urology Lumbosacral Plexus 030232 urology & nephrology Urinary incontinence Electric Stimulation Therapy Postoperative Hemorrhage Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Refractory medicine Fecal incontinence Humans Retroperitoneal Space Retroperitoneal hemorrhage Hematoma 030219 obstetrics & reproductive medicine Urinary symptoms Urinary retention business.industry Heparin Obstetrics and Gynecology Anticoagulants Urinary Incontinence Urge Middle Aged medicine.disease Embolization Therapeutic Sacral nerve stimulation Surgery Female Warfarin medicine.symptom Complication business |
| Zdroj: | Female pelvic medicinereconstructive surgery. 23(4) |
| ISSN: | 2154-4212 |
| Popis: | Sacral neuromodulation (SNM) is an effective therapy for patients who experience urinary incontinence, idiopathic urinary retention, and fecal incontinence. Although typically a low-risk procedure, rarely, it can be associated with significant hemorrhage. A 61-year-old woman on chronic anticoagulation underwent uncomplicated implantation of SNM for refractory urgency urinary incontinence. Anticoagulation was held on the day of surgery and resumed on postoperative day 1. On postoperative day 2, the patient developed an extensive retroperitoneal hemorrhage. This was successfully treated by angioembolization of the left lateral sacral artery with the InterStim device left in situ. At 6-month follow-up, the device was functioning properly, and the patient's urinary symptoms were well controlled. Retroperitoneal hemorrhage is a rare complication after SNM placement. Conservative management with angioembolization should be considered as a first-line approach. |
| Databáze: | OpenAIRE |
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