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Related Experiment Videos

[Modern algorithm for treating pudendal neuralgia: 212 cases and 104 decompressions].

E Bautrant1, E de Bisschop, V Vaini-Elies

  • 1Centre Libéral Aixois de Réhabilitation Pelvi-périnéale, Le Grand Angle, 4, place Barthélémy Niollon, 13100 Aix-en-Provence.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|April 8, 2004
PubMed
Summary

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Pudendal neuralgia diagnosis is challenging, but electrophysiological tests aid confirmation. Surgical decompression offers significant pain relief for many women with peripheral pudendal nerve injury.

Area of Science:

  • Neurology
  • Surgical Anatomy

Context:

  • Pudendal neuralgia presents with diverse and variable symptoms, complicating clinical diagnosis.
  • Electrophysiological tests are crucial for confirming or refuting pudendal neuralgia.
  • A diagnosis score facilitated patient selection for this study.

Purpose:

  • To evaluate the diagnostic methods and treatment outcomes for pudendal neuralgia in women.
  • To identify the most common sites of pudendal nerve entrapment.
  • To assess the efficacy of surgical decompression for intractable pudendal neuralgia.

Summary:

  • Over a four-year period, 200 women with peripheral pudendal nerve injury were studied.
  • The sacro-spino-tuberal ligament grip was the most frequent site of entrapment (68%), followed by Alcock canal (20%).

Related Experiment Videos

  • Surgical decompression via a trans-ischio-rectal approach was performed on 104 patients, with 86% achieving symptom relief after one year.

    • Impact:

    • This study highlights the effectiveness of surgical decompression for pudendal neuralgia.
    • It provides valuable insights into the anatomical locations of pudendal nerve entrapment.
    • The findings support the use of a structured diagnostic approach and surgical intervention for improved patient outcomes.