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Psychosomatic Medicine 63:505-508 (2001)
© 2001 American Psychosomatic Society

CASE REPORT

Sacral Neuromodulation for Urinary Retention Caused by Sexual Abuse

Burkhard von Heyden, MD, PhD, Renate Steinert, Hans Werner Bothe, MD and Lothar Hertle, MD

From the Departments of Urology (B.v.H., L.H.), Psychotherapy (R.S.), and Neurosurgery (H.W.B.), Westfälische Wilhelms-Universität, Münster, Germany.

Address reprint requests to: Burkhard von Heyden, MD, PhD, Department of Urology, Friederikenstift Hannover, Humboldtstrasse 5, 30169 Hannover, Germany. Email: sekretariat.uro{at}friederikenstift.de

ABSTRACT

OBJECTIVE: This case report describes the use of sacral neuromodulation to treat urinary retention after sexual abuse.

METHODS: Sacral neuromodulation was added to therapeutic regimen of a 38-year-old woman in whom chronic, complete urinary retention developed after psychological and sexual abuse during childhood.

RESULTS: The combination of psychotherapy and neuromodulation restored the patient’s ability to void, whereas psychotherapy alone had not.

CONCLUSIONS: Although a multifactorial etiology of retention cannot be ruled out in this patient, neuromodulation might effectively treat urinary retention in cases of a conversion disorder after sexual abuse.

Key Words: neural conduction • urinary retention • sexual abuse • epilepsy.






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Copyright © 2001 by the American Psychosomatic Society