spinal cord stimulation for interstitial cystitis

[madhi]

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Hi,
I am a pain physician in hospital based practice. Recently I got referred with two very young patients with interstitial cystitis who have failed all conventional treatment which includes bladder distention, instillation and others. I would like suggestions and inputs, as I am going to do trial of spinal cord stimulator for interstitial cystitis. Patients are interested themselves to go for spinal cord stimulator trial for interstitial cystitis due to poor quality of life.
I invite all advises and suggestions - regarding the exact and correct lead position required for spinal cord stimulator trial. Will retrograde leads work. Please let me know
Thank you

 

[mazinger]

Hi,
I am a pain physician in hospital based practice. Recently I got referred with two very young patients with interstitial cystitis who have failed all conventional treatment which includes bladder distention, instillation and others. I would like suggestions and inputs, as I am going to do trial of spinal cord stimulator for interstitial cystitis. Patients are interested themselves to go for spinal cord stimulator trial for interstitial cystitis due to poor quality of life.
I invite all advises and suggestions - regarding the exact and correct lead position required for spinal cord stimulator trial. Will retrograde leads work. Please let me know
Thank you

During fellowship I saw people get sacral SCS for chronic pelvic pain, can't remember the etiology of the patients' pain.
You can always do a trial with an entry through the sacral hiatus..
Haters please go easy on me..
https://www.ncbi.nlm.nih.gov/m/pubmed/20972541/?i=5&from=/22521096/related

 

[madhi]

Thank u so much for the info Mazinger

 

[101N]

Let's start an evidence review.

 

[mazinger]

Let's start an evidence review.

Not a lot of evidence behind it..

 

[deleted472101]

Some people have reported DRG stimulation to T12 and L1.

I have no experience

 

[clubdeac]

Yikes....I have very low expectations from this

 

[Taus]

Time for cbt, not scs


Sent from my iPhone using SDN mobile app

 

[deleted185747]

I have never seen cbt work

 

[101N]

To the OP, IC is - like FMS, IBS, TMJ, CFS- a CS spectrum disorder. This is a software problem not a hardware problem. By the vary act of treating is as is if it's a hardware problem you further entrench the faulty disease conviction.

 

[Disciple]

Let's start an evidence review.

Haha. Uh oh, IC. Was going to say, before anyone talks technique, where's the statement from professor 101N?

 

[mazinger]

To the OP, IC is - like FMS, IBS, TMJ, CFS- a CS spectrum disorder. This is a software problem not a hardware problem. By the vary act of treating is as is if it's a hardware problem you further entrench the faulty disease conviction.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126088/

 

[nvrsumr]

retrograde stim trial.