{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T14:36:40Z","timestamp":1769265400563,"version":"3.49.0"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Sacral neuromodulation (SNM) is a treatment used to manage urinary symptoms of both overactive bladder and non-obstructive urinary retention. The use of SNM in managing these symptoms has yielded positive results, contributing to a reduction in symptoms and an improvement in quality of life (QoL) for patients. This article aims to report on the electrical neurostimulation of sacral nerves to treat idiopathic non-obstructive urinary retention.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n A 27-year-old female presented with chronic non-obstructive idiopathic urinary retention, using intermittent bladder catheterization, who did not respond to various treatments such as behavioral therapy, pelvic floor physiotherapy, and alpha-blockers. She underwent a sphincter injection of botulinum toxin type A. Due to the refractoriness of all previous treatments, electrical neurostimulation of the sacral nerves was proposed as an alternative. Two electrodes were implanted to stimulate the sacral nerves percutaneously in the foramina of S4 on both sides and connected to the neurostimulation system.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n After the procedure, the patient experienced a reduction in the average voiding residue (47% immediately postoperative and 29% after 1 year), a significant decrease in urinary tract infections and bladder catheterizations (50% reduction), along with improvements in urinary symptoms, abdominal discomfort, and a substantial enhancement in QoL.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_809_2025","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:58:14Z","timestamp":1769151494000},"page":"36","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sacral neuromodulation for the treatment of idiopathic non-obstructive urinary retention: A long-term follow-up case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Walter","family":"Fagundes","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Federal University of Espirito Santo, Vitoria, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e9rgio","family":"Dantas","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurosurgery, University Hospital Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Kotochinsky","sequence":"additional","affiliation":[{"name":"Department of Medicine, National University of Cuyo, Centro Universitario, Mendoza, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin Picanco","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Medicine, Healthcare Institution of South Iceland, Selfoss, Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"\u0141ajczak","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00cdcaro Godeiro de Oliveira","family":"Maranh\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, University Hospital Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar Ara\u00fajo","family":"Britto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Urology, University Hospital Onofre Lopes, Federal University of Rio Grande do Norte, Natal, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"10.25259\/SNI_809_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1111\/j.1464-410X.2010.09702.x","article-title":"An update on sacral neuromodulation: Where do we stand with this in the management of lower urinary tract dysfunction in 2010?","volume":"106","author":"Bosch","year":"2010","journal-title":"BJU Int"},{"key":"10.25259\/SNI_809_2025\/ref-2","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.urology.2014.03.059","article-title":"Sacral neuromodulation for the dysfunctional elimination syndrome: A 10-year single-center experience with 105 consecutive children","volume":"84","author":"Dwyer","year":"2014","journal-title":"Urology"},{"key":"10.25259\/SNI_809_2025\/ref-3","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1007\/s11934-012-0267-8","article-title":"Evaluation and management of outlet obstruction in women without anatomical abnormalities on physical exam or cystoscopy","volume":"13","author":"Hickling","year":"2012","journal-title":"Curr Urol Rep"},{"key":"10.25259\/SNI_809_2025\/ref-4","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s11934-016-0586-2","article-title":"Female bladder outlet obstruction","volume":"17","author":"Hoffman","year":"2016","journal-title":"Curr Urol Rep"},{"key":"10.25259\/SNI_809_2025\/ref-5","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1007\/s00192-019-03898-w","article-title":"Sacral neuromodulation treating chronic pelvic pain: A meta-analysis and systematic review of the literature","volume":"30","author":"Mahran","year":"2019","journal-title":"Int Urogynecol J"},{"key":"10.25259\/SNI_809_2025\/ref-6","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1038\/nrurol.2013.277","article-title":"Fowler\u2019s syndrome--a cause of unexplained urinary retention in young women?","volume":"11","author":"Osman","year":"2014","journal-title":"Nat Rev Urol"},{"key":"10.25259\/SNI_809_2025\/ref-7","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s11934-996-0024-y","article-title":"Bladder outlet obstruction in women: Prevalence, recognition, and management","volume":"2","author":"Patel","year":"2001","journal-title":"Curr Urol Rep"},{"key":"10.25259\/SNI_809_2025\/ref-8","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1111\/bju.12571","article-title":"Long-term follow-up of sacral neuromodulation for lower urinary tract dysfunction","volume":"113","author":"Peeters","year":"2014","journal-title":"BJU Int"},{"key":"10.25259\/SNI_809_2025\/ref-9","doi-asserted-by":"crossref","first-page":"11031","DOI":"10.1038\/s41598-017-11062-x","article-title":"Sacral neuromodulation for refractory bladder pain syndrome\/ interstitial cystitis: A global systematic review and meta-analysis","volume":"7","author":"Wang","year":"2017","journal-title":"Sci Rep"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/sacral-neuromodulation-for-the-treatment-of-idiopathic-non-obstructive-urinary-retention-a-long-term-follow-up-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/sacral-neuromodulation-for-the-treatment-of-idiopathic-non-obstructive-urinary-retention-a-long-term-follow-up-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:58:23Z","timestamp":1769151503000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/sacral-neuromodulation-for-the-treatment-of-idiopathic-non-obstructive-urinary-retention-a-long-term-follow-up-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,23]]},"references-count":9,"alternative-id":["10.25259\/SNI_809_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_809_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,23]]},"article-number":"36"}}