Neuraxial analgesia in a pregnant woman with Fowler's syndrome and sacral neuromodulation

M Ansó; L Veiga-Gil; J De Carlos; A Hualde; J Pérez-Cajaraville

doi:10.1016/j.ijoa.2016.11.008

Neuraxial analgesia in a pregnant woman with Fowler's syndrome and sacral neuromodulation

Int J Obstet Anesth. 2017 May:30:58-61. doi: 10.1016/j.ijoa.2016.11.008. Epub 2016 Dec 5.

Authors

M Ansó¹, L Veiga-Gil², J De Carlos¹, A Hualde³, J Pérez-Cajaraville⁴

Affiliations

¹ Department of Anesthesia and Pain Medicine, Complejo Hospitalario de Navarra, Pamplona, Spain.
² Department of Anesthesia and Pain Medicine, Complejo Hospitalario de Navarra, Pamplona, Spain. Electronic address: noraveigagil@gmail.com.
³ Department of Urology, Complejo Hospitalario de Navarra, Pamplona, Spain.
⁴ Department of Pain Medicine, Hospital General Médico-Quirúrgico, Madrid, Spain.

PMID: 28034599
DOI: 10.1016/j.ijoa.2016.11.008

Abstract

We report the anesthetic management of a 16-year-old woman with Fowler's syndrome who became pregnant three years after sacral neuromodulation was initiated for treatment of the condition. Multidisciplinary consensus was to switch off the neurostimulator during pregnancy, and attempt vaginal delivery with a neuraxial block. When the patient was admitted for labor, an epidural catheter was placed successfully. The patient had a normal vaginal delivery. Sacral neuromodulation was restarted uneventfully in the early puerperium and the Fowler's syndrome remains well controlled. The baby continues to develop normally three years after delivery.

Keywords: Fowler’s syndrome; Neuraxial anesthesia; Sacral neuromodulation.

MeSH terms

Adolescent
Analgesia, Obstetrical / methods*
Anesthesia, Conduction / methods*
Electric Stimulation Therapy / adverse effects*
Female
Humans
Infant, Newborn
Patient Care Planning
Pregnancy
Pregnancy Outcome
Prostheses and Implants
Sacrum
Syndrome
Ultrasonography
Urinary Retention / diagnostic imaging
Urinary Retention / therapy*
Urination