Simultaneous Closed-Loop Inceptiv Spinal Cord Stimulator and Bladder InterStim Implantation - A Case Report.

BACKGROUND: 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. CASE REPORT: 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. CONCLUSIONS: 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.