Reply to Re: Popeney C, Ansell V, Renney K. 2007. Pudendal nerve entrapment as an etiology of chronic perineal pain: Diagnosis and treatment. Neurourol Urodynam

Pudendal Nerve Neurolysis in Patients Afflicted With Pudendal Nerve Entrapment: A Systematic Review of Surgical Techniques and Their Efficacy

“…Meticulous attention is required during the neurolysis and transposition of the PN to prevent neuronal damage. Popeney et al [ 23 ] observed a relevant numbness and joint dysfunction rate in their case series of 58 patients. However, these complications were limited in scope and did not pose significant threats.…”

“…Popeney et al [ 23 ] outlined a diagnostic protocol for PNE and assessed clinical responses to surgical decompression within a prospective study involving 58 patients. The transgluteal surgical approach was adopted, primarily for chronic intractable neuropathic perineal pain.…”

“…Among the included studies, 11 were retrospective [ 12 - 17 , 22 , 26 , 29 , 36 , 38 ], 11 were prospective [ 10 , 18 , 19 , 21 , 23 , 28 , 31 - 35 ], 7 were case reports [ 11 , 20 , 25 , 27 , 30 , 37 , 39 ], and one was a randomized trial [ 24 ]. The surgical techniques utilized exhibited variation, encompassing transperineal open surgery in 8 studies [ 10 - 17 ], transgluteal in 8 studies [ 18 - 25 ], and the remainder adopting minimally invasive approaches, which comprised 12 laparoscopic [ 26 - 37 ] and 2 robot-assisted [ 38 , 39 ] methods.…”