Sacral neuromodulation (SNM) is an effective treatment for refractory urinary conditions, including urge incontinence and urinary retention. Percutaneous nerve evaluation (PNE) is used to assess patient suitability for permanent SNM through temporary lead placement. While rare, complications such as hematomas can occur. This case report describes an acute pre-sacral hematoma following PNE lead placement in the absence of typical risk factors. Awareness of such rare complications can improve preparedness for management of potential adverse outcomes.

SNM

Sacral neuromodulation

PNE

Percutaneous nerve evaluation

Pre-sacral hematoma

sacral neuromodulation

percutaneous sacral nerve evaluation

© 2025 The Authors. Published by Elsevier Inc.