Overactive bladder (OAB) syndrome and chronic pain are 2 highly prevalent conditions often comorbid with one another. Though the mechanism is not fully elucidated, it is suspected that the presence of one may predispose individuals to the other. Neuromodulation has gained traction as a promising treatment modality for both conditions.
Our case report describes a 69-year-old man with severe lumbar stenosis with debilitating pain, painful diabetic peripheral neuropathy, and OAB. After failing to achieve relief with conservative modalities, he underwent simultaneous closed-loop spinal cord stimulator (CL-SCS) and sacral stimulator implantation. At follow-up, he reported significant pain relief, improved sleep and mobility, alongside reduced urinary frequency symptoms.
To our knowledge, this is the first reported case of simultaneous CL-SCS and sacral stimulator implantation. The existing literature describing dual neuromodulatory techniques is sparse, focusing primarily on single indications. Our case uniquely describes 2 indications managed with dual neuromodulatory approaches.
Pain medicine case reports. 2026 Mar [Epub]
Dylan W Banks, David S Jevotovsky, Mustafa Broachwala, Amy Wang, Krishnan V Chakravarthy
New York University, Department of Physical Medicine and Rehabilitation, New York, NY., University of California San Diego, Department of Anesthesiology and Pain Medicine, Health Sciences, San Diego, CA.