Broken Sacral Neuromodulation Lead Migration Into the Sigmoid Colon: A Case Report. Issue 6 (November 2018)

• Record Type: Journal Article
• Authors: Shannon, Megan B.; Gupta, Neil; Eberhardt, Joshua; Farooq, Ahmer V.
• Is Part Of: Female pelvic medicine & reconstructive surgery. Volume 24:Issue 6(2018)
• Publication Date: 2018-11
• Subjects: sacral neuromodulation -- colocutaneous fistula -- lead migration -- bowel complication; Pelvis -- Diseases -- Periodicals; Pelvis -- Surgery -- Periodicals; Genital Diseases, Female -- surgery -- Periodicals; Urologic Diseases -- surgery -- Periodicals; Colonic Diseases -- surgery -- Periodicals; Rectal Diseases -- surgery -- Periodicals; Surgical Procedures, Operative -- methods -- Periodicals; 616.6
• DOI: 10.1097/SPV.0000000000000601
• Languages: English
• ISSNs: 2151-8378

Abstract

Abstract : Abstract: Sacral neuromodulation is an effective treatment of urinary incontinence, fecal incontinence, and idiopathic urinary retention. The procedure is considered low risk with overall low complication rates. This report describes a 40-year-old woman who underwent sacral neuromodulation explant and full-system implant for weaning efficacy of her device. During device removal, the tined lead broke and was left in situ. Four months later, she was diagnosed as having a wound infection at the site of the retained lead. Imaging revealed lead fragment migration into the sigmoid colon. A colocutaneous fistula was noted soon thereafter. The retained lead was removed during a colonoscopy and the fistula healed. A retained lead can result in migration through the peritoneum and into the colon. This can be managed with assistance from colorectal or gastroenterology consultants.