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经皮神经评估术后骶前血肿:一例报告。

Post-operative pre-sacral hematoma after percutaneous nerve evaluation: A case report.

作者信息

Kuntz Hannah, Tully Zachary, Littlejohn Joe O

机构信息

Penn State College of Medicine, Hershey, PA, USA.

Department of Urology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

出版信息

Urol Case Rep. 2025 Aug 31;63:103188. doi: 10.1016/j.eucr.2025.103188. eCollection 2025 Nov.

Abstract

Sacral neuromodulation (SNM) is an effective treatment for refractory urinary conditions, including urge incontinence and urinary retention. Percutaneous nerve evaluation (PNE) is used to assess patient suitability for permanent SNM through temporary lead placement. While rare, complications such as hematomas can occur. This case report describes an acute pre-sacral hematoma following PNE lead placement in the absence of typical risk factors. Awareness of such rare complications can improve preparedness for management of potential adverse outcomes.

摘要

骶神经调节(SNM)是治疗难治性泌尿系统疾病的有效方法,包括急迫性尿失禁和尿潴留。经皮神经评估(PNE)通过临时放置电极来评估患者是否适合永久性SNM。虽然罕见,但可能会出现血肿等并发症。本病例报告描述了在没有典型危险因素的情况下,PNE电极放置后发生的急性骶前血肿。认识到这种罕见并发症有助于提高对潜在不良后果的处理准备。

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