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Case Reports in Neurological Medicine
Volume 2016, Article ID 8926578, 3 pages
http://dx.doi.org/10.1155/2016/8926578
Case Report

S3 Dorsal Root Ganglion/Nerve Root Stimulation for Refractory Postsurgical Perineal Pain: Technical Aspects of Anchorless Sacral Transforaminal Lead Placement

X. Zuidema,1,2 J. Breel,1,2 and F. Wille1,2

1Department of Anaesthesiology and Pain Medicine, Diakonessenhuis Utrecht/Zeist, Internal Post Box 53, P.O. Box 1002, 3700 BA, Zeist, Netherlands
2Department of Anaesthesiology and Pain Medicine, Academic Medical Centre, P.O. Box 22660, 1100 DD Amsterdam, Netherlands

Received 2 December 2015; Accepted 3 March 2016

Academic Editor: Paola Sandroni

Copyright © 2016 X. Zuidema et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chronic perineal pain limits patients in physical and sexual activities, leading to social and psychological distress. In most cases, this pain develops after surgery in the urogenital area or as a consequence of trauma. Neuromodulation is one of the options in chronic postsurgical perineal pain treatment. We present a case of refractory perineal pain after right sided surgical resection of a Bartholin’s cyst which was treated with third sacral nerve root/dorsal root ganglion stimulation using the transforaminal approach. We describe a new anchorless lead placement technique using a unique curved lead delivery sheath. We postulate that this new posterior foraminal technique of lead placement is simple, safe, and reversible and may lower the occurrence of lead related complications.