Algorithmes thérapeutiques de la prise en charge des douleurs pelvipérinéales : du syndrome aux traitements

Rigaud, J.; Delavierre, D.; Sibert, L.; Labat, J.-J.

doi:10.1016/j.purol.2010.09.015

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…В крайнем случае может быть проведено прижигание непарного ганглия с инфильтрацией алкоголем без гарантии результатов и с серьезным [24]. В последнюю очередь пациенту может быть предложено выполнение «медуллярной стимуляции» путем имплантации электродов непосредственно в спинной мозг [25].…”

Section: Introductionunclassified

Effects of Osteopathic Care on patients suffering with pudendal neuralgia: a prospective monocentric study

Тессье¹,

Морен²

2020

Rossijskij osteopaticheskij zhurnal

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Introduction. Pudendal neuralgia is a canal syndrome. Patients present, among other symptoms, with chronic neuropathic pain, allodynia and dyspareunia; the chronicity of which impact their everyday life.The goal of research — is to measure the impact of osteopathic care on pudendal neuralgia′s pain.Materials and methods. Four females and eight males suffering from pudendal neuralgia received two osteopathic treatments within 15 days. Pain was the main outcome measure. We assessed pain through a simple verbal pain rating scale. The scale was used on three occasions: before the first session, before the second one and 15 days later.Results. 10 out of 12 patients find their pain decreased by 40 % or more. On inclusion, the main pain level is 6,3, before the second session it goes down to 4,5, then to 2,5 after 15 days. This decrease is very highly significant (p<0,0001). Every patient from this study would recommended this approach to a friend suffering from this neuralgia.Conclusion. Osteopathy seems to be interesting to consider in the global management of pudendal neuralgia. A comparative randomized trial would be necessary to confirm these first results. It would be interesting to compare results obtained with the osteopathic protocol with results from transcutaneous neuroelectric stimulation in order to assess if the action of osteopathy is linked with pain perception only.

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Section: Introductionunclassified

Effects of Osteopathic Care on patients suffering with pudendal neuralgia: a prospective monocentric study

Тессье¹,

Морен²

2020

Rossijskij osteopaticheskij zhurnal

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Estimate of the proportion of uncertain diagnoses of pudendal neuralgia in women with chronic pelvic‐perineal pain: A systematic review with a descriptive data synthesis

Indraccolo

Nardulli

Indraccolo

2020

Neurourology and Urodynamics

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Background There is a gap between pudendal neuralgia (PN) due to pudendal entrapment syndrome and PN without pudendal entrapment syndrome. The latter could have atypical symptoms. Aim Defining a rate of atypical PN from a clinical series of female patients with chronic pelvic‐perineal pain. Methods The atypical PN was defined as a pain not meeting clinical criteria for pudendal entrapment syndrome. The effect size was the rate of atypical PN. Such a rate was expected to be found among patients screened for enrollment in clinical series on pudendal neuropathic pain. A systematic search was performed looking for clinical series on PN. Studies must report information on female patients, pelvic‐perineal pain, at least a clinical criterion for diagnosing the pudendal neurogenic origin of pain, the proportion of patients with pain not meeting the clinical criterion/a for diagnosing the pudendal entrapment pain. Results From 2637 references, nine studies were included for qualitative analysis. Three of them were not suitable for data synthesis: one assessed the rate of PN after hip arthroscopy; second enrolled miscellaneous patients, a third investigated patients with gynecological diseases. Six studies involved patients with suspicion of pudendal entrapment symptoms (205 patients observed), allowing data synthesis. One of these series was judged as being of good quality. The overall rate of atypical PN is 0.013 (95% confidence interval, 0.008‐0.021), I2 0%. Further analysis suggests the risk of bias for all studies. Conclusions Atypical PN in females is low when clinical criteria for pudendal entrapment syndrome are applied.

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Défécation, miction et syndrome douloureux pelvien chronique

Labat

2013

Pathologies Des Toilettes

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Algorithmes thérapeutiques de la prise en charge des douleurs pelvipérinéales : du syndrome aux traitements

Cited by 5 publications

References 13 publications

Effects of Osteopathic Care on patients suffering with pudendal neuralgia: a prospective monocentric study

Effects of Osteopathic Care on patients suffering with pudendal neuralgia: a prospective monocentric study

Estimate of the proportion of uncertain diagnoses of pudendal neuralgia in women with chronic pelvic‐perineal pain: A systematic review with a descriptive data synthesis

Défécation, miction et syndrome douloureux pelvien chronique

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