{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:38Z","timestamp":1787017058401,"version":"build-2736575974"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,5,29]]},"abstract":"<jats:p>A variety of neuromodulation approaches have been described for the management of pelvic neuropathies, including interstitial cystitis, pudendal neuralgia and persistent genital arousal disorder. The benefits of a combined sacral and pudendal nerve neuromodulator has yet to be explored for these patients. In this report, we describe the case of a 35-year-old woman with a complex pelvic neuropathy resulting in urinary, sexual and gastro-intestinal dysfunction. She presented with an established diagnosis of interstitial cystitis; however, she also fulfilled diagnostic criteria for pudendal neuralgia and persistent genital arousal disorder. The patient underwent implantation of a combined sacral and pudendal nerve neuoromodulation device at the time of surgical decompression of the pudendal nerves. An impressive clinical response followed. This case demonstrates a unique clinical presentation and highlights the value of a combined surgical and neuromodulatory approach in the management of patients with complex pelvic neuropathies.<\/jats:p>","DOI":"10.1136\/bcr-2015-213513","type":"journal-article","created":{"date-parts":[[2016,6,9]],"date-time":"2016-06-09T22:00:22Z","timestamp":1465509622000},"page":"bcr2015213513","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Combined site-specific sacral neuromodulation and pudendal nerve release surgery in a patient with interstitial cystitis and persistent arousal"],"prefix":"10.1136","volume":"2016","author":[{"given":"Georgina Louise","family":"Armstrong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Royal Hospital for Women, Sydney, New South Wales, Australia"},{"name":"School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry Georges","family":"Vancaillie","sequence":"additional","affiliation":[{"name":"Women's Health and Research Institute Australia, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,6,9]]},"reference":[{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1066-7"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000053863.96967.5a"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.3","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12066"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.4","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22525"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01578.x"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.6","doi-asserted-by":"publisher","DOI":"10.3109\/01674820309074686"},{"key":"2025082801402755000_2016.jun09_1.bcr2015213513.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.064"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:32Z","timestamp":1756370432000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,9]]},"references-count":7,"alternative-id":["10.1136\/bcr-2015-213513"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213513","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,9]]}}}