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Related Experiment Video

Updated: Nov 29, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

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Pudendal Neurolysis by Laparoscopy.

Mathilde Pélissié¹, Elodie Fischbach¹, Lise Lecointre¹

¹Department of Gynecological Surgery, The University Hospitals of Strasbourg, Hospital of Hautepierre, Strasbourg, France (all authors).

Journal of Minimally Invasive Gynecology

|November 20, 2020

Summary

This summary is machine-generated.

Laparoscopic pudendal neurolysis offers a safe and effective surgical treatment for pudendal neuralgia. This minimally invasive approach allows for clear visualization and complete decompression of the pudendal nerve.

Keywords:

Nerve decompression Pudendal entrapment syndrome Pudendal neuralgia

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Area of Science:

Minimally Invasive Surgery
Neurology
Pelvic Anatomy

Background:

Pudendal neuralgia, characterized by gluteal and perineal pain, can result from pudendal nerve compression.
Diagnosis is confirmed via analgesic block and CT-guided infiltration.
Traditional surgical decompression methods include transgluteal and transischiorectal approaches.

Purpose of the Study:

To demonstrate the safety and efficacy of a laparoscopic approach for pudendal neurolysis.
To provide a stepwise didactic video of the laparoscopic technique.

Main Methods:

A total laparoscopic approach was utilized for right pudendal neurolysis.
The technique involved dissection of the ischiorectal fossa and identification of the pudendal nerve.
The sacrospinous ligament was sectioned, and the nerve was freed and repositioned within Alcock's canal.

Main Results:

The laparoscopic pudendal neurolysis was performed successfully without complications.
The procedure allowed for complete visualization and dissection of the nerve pathway.
Patients experienced clinical improvement upon waking.

Conclusions:

Laparoscopic pudendal neurolysis is a reproducible and safe technique for managing pudendal neuralgia.
This method provides excellent visualization and dissection of the pelvic structures and ischiorectal fossa.