Evidence map›Paper›PMID 40189530›Full record

ArticleBMC women's health2025

Good long-term results of sacral neuromodulation for endometriosis related chronic pelvic pain.

Adrian Zegrea, Emilia Ojala, Jaan Kirss, Pia Suvitie, Pirita Varpe, Johanna Mäkelä-Kaikkonen, Tero Rautio, Jaana Seikkula, Mika Ukkonen, Maija Lavonius and 1 more

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Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Adrian ZegreaSeinäjoki Central Hospital, Seinäjoki, Finland. adrian.zegrea@hyvaep.fi.ORCID 0000-0002-7458-9386
Emilia OjalaTurku University Hospital and University of Turku, Turku, Finland.
Jaan KirssNorth Estonian Medical Centre, Tallinn, Estonia.
Pia SuvitieTurku University Hospital and University of Turku, Turku, Finland.
Pirita VarpeTurku University Hospital and University of Turku, Turku, Finland.
Johanna Mäkelä-KaikkonenOulu University Hospital, Oulu, Finland.
Tero RautioOulu University Hospital, Oulu, Finland.
Jaana SeikkulaJyväskylä Central Hospital, Jyväskylä, Finland.
Mika UkkonenJyväskylä Central Hospital, Jyväskylä, Finland.
Maija LavoniusTurku University Hospital and University of Turku, Turku, Finland.
Tarja PintaSeinäjoki Central Hospital, Seinäjoki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacral neuromodulation (SNM) is an established therapy in urology and gastroenterological surgery for treatment of overactive bladder symptoms, urge urinary incontinence or fecal incontinence. SNM has also been used with good results in patients with chronic pelvic pain (CPP). Our aim was to analyze long-term results of SNM in Finnish patients with endometriosis related CPP.

methodsThis is a register-based retrospective study including all the endometriosis patients treated with SNM for CPP in Finland between 2004 and 2017. There were four centers where these procedures were performed, two University Hospitals and two Central Hospitals. Long-term results were assessed by phone interview in spring 2021.

resultsA total of 16 women with endometriosis, with a median age of 39 (25-50) years, underwent SNM treatment for chronic pelvic pain (CPP), with the median follow-up time of 73 (48-85) months. The Implantable Pulse Generator (IPG) was implanted to 14 patients (88%). By the end of the follow-up period, 10 patients (62,5% of all patients and 71% of those who received IPG) had a functional SNM. Pain was assessed by numeral rating scale (NRS) and decreased from a median of 7.4 (3.6-10) to 2.3 (0-6.5).

conclusionsSNM could be a good option in the treatment of endometriosis related chronic pelvic pain when standard therapy is not enough.

Indexed as

Chronic PainElectric Stimulation TherapyEndometriosisPelvic PainAdultFemaleFinlandHumansMiddle AgedRetrospective StudiesTreatment OutcomeChronic pelvic painEndometriosisSacral neuromodulation

Identifiers

PMID40189530
PMCPMC11974166

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.