Results of pudendal nerve neurolysis-transposition in twelve patients suffering from pudendal neuralgia

Abstract

This preliminary study suggests that complete disappearance of pain for at least two weeks after a nerve block repeated twice before surgery may be the best criterion to predict success. Based on this criterion, surgery would have been performed in four patients in this study, of whom three would have been cured.

Pudendal neuralgia: CT-guided pudendal nerve block technique

“…As with other entrapment neuropathies, infiltration of the nerve with glucocorticoids at the compression site may relieve pain and serve as a particularly useful diagnostic and therapeutic tool. In cases in which there is a recurrence after successful infiltration, surgical decompression of the nerve may be considered [5][6][7]9].…”

Proctalgia in Pudendal Nerve Entrapment Syndrome: A Pathology to Know

“…[32], have also been used. As regards surgical treatment, the transgluteal, transperineal, or transvaginal technique should be mentioned [33][34][35][36], which have the common objective of freeing the nerve from its entrapment.…”

Syndromes canalaires des nerfs ilio-hypogastriques, ilio-inguinaux, génitofémoraux, obturateurs et pudendal

“…Une fois le nerf ainsi libéré, on retourne en arrière pour sectionner le ligament sacroépineux, et on fait basculer le nerf pudendal au-dessus de l'épine ischiatique [40,41]. Cette chirurgie induit une amélioration chez environ deux tiers des patients [42], les échecs étant surtout constatés lorsque la chirurgie a été réalisée très tardivement et/ou chez les patients non améliorés par les blocs anesthési-ques [43].…”