Pudendal Neuralgia: Two case reports with laparoscopic nerve decompression.

Area of Science:

• Neurology
• Surgical Techniques

Background:

• Pudendal neuralgia (PN) is an underestimated condition, potentially more prevalent than reported, affecting quality of life.
• It is commonly caused by pudendal nerve entrapment, leading to diagnostic delays and high healthcare costs.

Purpose of the Study:

• To report on the clinical history of two patients with compressive PN.
• To highlight the role of laparoscopic surgery in managing PN.

Main Methods:

• Diagnosis based on Nantes Criteria, clinical history, and physical examination.
• Conservative management including analgesics and anticonvulsants.
• Laparoscopic pudendal neurolysis for surgical nerve decompression.

Main Results:

• Successful laparoscopic exploration and decompression of the pudendal nerve in two patients.
• Demonstrated feasibility of laparoscopic approach for PN treatment.

Conclusions:

• Individualized treatment by a multidisciplinary team is crucial for PN.
• Laparoscopic pudendal neurolysis is an adequate surgical option after conservative treatment failure.