keyword
MENU ▼
Read by QxMD icon Read
search

Pudendal decompression

keyword
https://www.readbyqxmd.com/read/27828983/sacrotuberous-ligament-healing-following-surgical-division-during-transgluteal-pudendal-nerve-decompression-a-3-tesla-mr-neurography-study
#1
Jan Fritz, Benjamin Fritz, A Lee Dellon
Pelvic pain due to chronic pudendal nerve (PN) compression, when treated surgically, is approached with a transgluteal division of the sacrotuberous ligament (STL). Controversy exists as to whether the STL heals spontaneously or requires grafting. Therefore, the aim of this study was to determine how surgically divided and unrepaired STL heal. A retrospective evaluation of 10 patients who had high spatial resolution 3-Tesla magnetic resonance imaging (3T MRI) exams of the pelvis was done using an IRB-approved protocol...
2016: PloS One
https://www.readbyqxmd.com/read/27284095/combined-site-specific-sacral-neuromodulation-and-pudendal-nerve-release-surgery-in-a-patient-with-interstitial-cystitis-and-persistent-arousal
#2
Georgina Louise Armstrong, Thierry Georges Vancaillie
A variety of neuromodulation approaches have been described for the management of pelvic neuropathies, including interstitial cystitis, pudendal neuralgia and persistent genital arousal disorder. The benefits of a combined sacral and pudendal nerve neuromodulator has yet to be explored for these patients. In this report, we describe the case of a 35-year-old woman with a complex pelvic neuropathy resulting in urinary, sexual and gastro-intestinal dysfunction. She presented with an established diagnosis of interstitial cystitis; however, she also fulfilled diagnostic criteria for pudendal neuralgia and persistent genital arousal disorder...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27250921/pudendal-neuralgia-after-pelvic-surgery-using-mesh-case-reports-and-laparoscopic-pudendal-nerve-decompression
#3
Eyup Burak Sancak, Egemen Avci, Tibet Erdogru
Persistent pain after vaginal mesh surgery is a rare and agonizing entity that has devastating consequences for the patient's quality of life. Many etiologies have been blamed including nerve injuries and entrapments. Pudendal neuralgia is a rare chronic neuropathic pain syndrome in the anatomical territory of the pudendal nerve. Various treatment options, such as medication management, physiotherapy, nerve blocks, decompression surgery and neuromodulation, have been used, but the most appropriate treatment for pudendal neuralgia has not yet been determined...
September 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/26606029/pelvic-neuralgias-by-neuro-vascular-entrapment-anatomical-findings-in-a-series-of-97-consecutive-patients-treated-by-laparoscopic-nerve-decompression
#4
Marc Possover, Axel Forman
BACKGROUND: Some patients have pelvic, pudendal, or low lumbar pain radiating into the legs that is worse while sitting but differs from pudendal neuralgia. The purpose of this study was to present a new clinical entity of neuropathic pelvic pain by pelvic neuro-vascular entrapment. OBJECTIVES: To report about the locations of predilection for pelvic neurovascular entrapment. STUDY DESIGN: Prospective cohort pre- and post-intervention. SETTING: University referral unit specializing in advanced gynecological surgery and neuropelveology...
November 2015: Pain Physician
https://www.readbyqxmd.com/read/25790267/the-first-case-of-robotic-pudendal-nerve-decompression-in-pudendal-nerve-entrapment-syndrome
#5
Denis Rey, Marco Oderda
OBJECTIVE: To report the first case of robotic pudendal nerve (PN) decompression for bilateral PN entrapment (PNE). PN decompression is a safe and effective treatment for PNE and can be accomplished laparoscopically with a better exploration of the sacral roots and of the PN. MATERIALS AND METHODS: We describe in detail all the steps of our surgery, performed on a 38-year-old female patient suffering from PNE. All the anatomic landmarks are clearly shown. RESULTS: Our technique was successful, and the patient's postoperative course was uneventful...
April 2015: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/25629207/pelvic-pain-of-pudendal-nerve-origin-surgical-outcomes-and-learning-curve-lessons
#6
A Lee Dellon, Deborah Coady, Dena Harris
PURPOSE: When pudendal nerve dysfunction fails to improve after medical and pelvic floor therapy, a surgical approach may be indicated. "Traditional," "posterior," transgluteal nerve decompression fails in an unacceptably high percentage of patients. Insights into pudendal neuroanatomy and pathophysiology offer improved microsurgical outcomes. METHODS: To evaluate results of a peripheral nerve approach to the pudendal nerve, 55 patients were prospectively evaluated...
May 2015: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/25155124/pudendal-neuralgia
#7
REVIEW
Waseem Khoder, Douglass Hale
Pudendal neuralgia is a painful condition affecting the nerve distribution of the pudendal nerve. The Nantes criteria give some structure for making this diagnosis. A step-ladder approach to therapy, as described, is suggested when treating these patients.
September 2014: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/24716710/management-of-pudendal-neuralgia
#8
REVIEW
F R Pérez-López, F Hita-Contreras
Pelvic pain is a frequent complaint in women during both reproductive and post-reproductive years. Vulvodynia includes different manifestations of chronic vulvar pain with no known cause. Many women do not receive a diagnosis and appropriate treatment. Pudendal neuralgia is a painful condition caused by inflammation, compression or entrapment of the pudendal nerve; it may be related to or be secondary to childbirth, pelvic surgery, intense cycling, sacroiliac skeletal abnormalities or age-related changes. Clinical characteristics include pelvic pain with sitting which increases throughout the day and decreases with standing or lying down, sexual dysfunction and difficult with urination and/or defecation...
December 2014: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/24609699/current-status-new-technologies-for-the-treatment-of-patients-with-fecal-incontinence
#9
REVIEW
Andreas M Kaiser, Guy R Orangio, Massarat Zutshi, Suraj Alva, Tracy L Hull, Peter W Marcello, David A Margolin, Janice F Rafferty, W Donald Buie, Steven D Wexner
Fecal incontinence is a frequent and debilitating condition that may result from a multitude of different causes. Treatment is often challenging and needs to be individualized. During the last several years, new technologies have been developed, and others are emerging from clinical trials to commercialization. Although their specific roles in the management of fecal incontinence have not yet been completely defined, surgeons have access to them and patients may request them. The purpose of this project is to put into perspective, for both the patient and the practitioner, the relative positions of new and emerging technologies in order to propose a treatment algorithm...
August 2014: Surgical Endoscopy
https://www.readbyqxmd.com/read/24590320/schwannoma-of-the-pudendal-nerve-at-sciatic-notch-and-differential-diagnosis-of-sitting-pain
#10
Tim Tollstrup, A Lee Dellon
No abstract text is available yet for this article.
May 2014: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/24249588/spinal-cord-stimulation-of-the-conus-medullaris-for-refractory-pudendal-neuralgia-a-prospective-study-of-27-consecutive-cases
#11
MULTICENTER STUDY
Kevin Buffenoir, Bruno Rioult, Olivier Hamel, Jean-Jacques Labat, Thibault Riant, Roger Robert
AIMS: Thirty percent of patients with pudendal neuralgia due to pudendal nerve entrapment obtain little or no relief from nerve decompression surgery. The objective was to describe the efficacy of spinal cord stimulation of the conus medullaris in patients with refractory pudendal neuralgia. METHODS: This prospective study, conducted by two centers in the same university city, described the results obtained on perineal pain and functional disability in all patients with an implanted conus medullaris stimulation electrode for the treatment of refractory pudendal neuralgia...
February 2015: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/24149853/laparoscopic-pudendal-nerve-decompression-and-transposition-combined-with-omental-flap-protection-of-the-nerve-istanbul-technique-technical-description-and-feasibility-analysis
#12
Tibet Erdogru, Egemen Avci, Murat Akand
BACKGROUND: We aimed in this study to investigate the efficacy of laparoscopic pudendal nerve decompression and transposition (LaPNDT) in the treatment of chronic pelvic pain due to pudendal neuralgia. Pudendal nerve entrapment (PNE) between the sacrospinous and sacrotuberous ligaments is the most frequent etiology. We describe the technical details, feasibility, and advantages of a laparoscopic approach in patients with PNE. METHODS: Consecutive patients (n = 27) with a diagnosis of PNE underwent LaPNDT with omental flap protection in an effort to prevent re-fibrosis around the nerve in the long term...
March 2014: Surgical Endoscopy
https://www.readbyqxmd.com/read/22751935/-neuralgia-of-the-pudendal-nerve-following-violent-trauma-analgesia-by-pudendal-neuromodulation
#13
K Heinze, M Nehiba, A van Ophoven
Pudendal neuralgia is a neuropathic disease which is predominantly caused by pelvic trauma with pressure or stretching strain of the pudendal nerve. The Nantes criteria are used for the differential diagnostics of this disease and therapy includes pressure-relieving and analgesic measures using laparoscopic or open decompression procedures. This article reports the case of a female patient who developed pudendal neuralgia following violent trauma to the pelvic and urogenital regions. Due to the complexity of the symptoms combined sacral and pudendal neuromodulation (PNM) was carried out...
August 2012: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/22653388/successful-treatment-of-pudendal-neuralgia-with-tricolumn-spinal-cord-stimulation-case-report
#14
Philippe Rigoard, Alexandre Delmotte, Alexis Moles, Rémi Hervochon, Thomas Vrignaud, Lorraine Misbert, Nicolas Lafay, Samuel Dʼhoutaud, Denis Frasca, Claude Guenot, Jean-Philippe Giot, Bakari Diallo, Benoit Bataille
BACKGROUND AND IMPORTANCE: There is large variation in the success of decompressive surgery for pudendal neuralgia (PN), the most chronic, disabling form of perineal pain. We attempt to determine whether spinal cord stimulation using new-generation multicolumn leads could form part of the treatment algorithm for refractory PN. CLINICAL PRESENTATION: A man with PN that was unresponsive to conventional treatment demonstrated a neuropathic component and had a negative response to nerve infiltrations (so he was not indicated for decompressive surgery) and a positive response to perianal transcutaneous electrical nerve stimulation and was implanted with a 16-contact surgical lead at the level of conus medullaris, allowing multicolumn stimulation...
September 2012: Neurosurgery
https://www.readbyqxmd.com/read/22305742/repeat-operation-for-treatment-of-persistent-pudendal-nerve-entrapment-after-pudendal-neurolysis
#15
Michael Hibner, Mario E Castellanos, David Drachman, James Balducci
STUDY OBJECTIVES: To describe a new approach to transgluteal pudendal neurolysis and transposition and to review the outcome in 10 patients who underwent repeat operation because of persistent pudendal neuralgia after failing to improve after initial surgical decompression. DESIGN: Retrospective analysis (Canadian Task Force classification II-3). SETTING: Academic chronic pelvic pain practice at St. Joseph's Hospital and Medical Center in Phoenix, Arizona...
May 2012: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/21482038/-surgical-decompression-of-pudendal-nerve-by-transperineal-approach-using-a-probe-with-a-small-balloon
#16
E de Bisschop, R Nundlall
AIM OF THE STUDY: Describe and analyze the surgical decompression of pudendal nerve by transperineal approach using a probe with a small balloon. PATIENTS AND METHOD: Since 2009 may, 43 patients (31 females, 12 males) underwent for a pudendal nerve decompression. These patients had clinical symptoms of pudendal neuralgia. Neurophysiological tests based on differential staged sacral reflexes and on somesthesic evoked potentials and ultrasound investigations of pudendal vessels evoked a zone of compressive hyperpressure at the level of the axis infrapiriformis area-ischiorectal fossea...
May 2011: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/20890871/-prostatitis-syndromes-and-sporting-activities
#17
REVIEW
E Sacco, A Totaro, F Marangi, F Pinto, M Racioppi, G Gulino, A Volpe, M Gardi, P F Bassi
INTRODUCTION: Prostatitis-like syndromes are high prevalent health problems and frequently considered by patients and physicians as strictly correlated to sports causing perineal compression. These syndromes and their relationships with sporting activities have been discussed in this report. METHODS: We reviewed peer-reviewed scientific articles published by May 2009 and searched according to the following term selection: prostatitis, pudendal nerve, sport, cycling...
April 2010: Urologia
https://www.readbyqxmd.com/read/20869701/laparoscopic-therapy-for-endometriosis-and-vascular-entrapment-of-sacral-plexus
#18
Marc Possover, Thilo Schneider, Klaus-Peter Henle
OBJECTIVE: To report our experience with endopelvic causes for sacral radiculopathies and sciatica. DESIGN: Prospective cohort study. SETTING: Tertiary referral advanced laparoscopic gynecology and neuropelveologic unit. PATIENT(S): Two hundred thirteen women who underwent laparoscopic management of sacral radiculopathy (sciatica, pudendal, gluteal pain) of unknown genesis in the period between November 2004 and February 2010...
February 2011: Fertility and Sterility
https://www.readbyqxmd.com/read/20510112/-update-in-pudendal-nerve-entrapment-syndrome-an-approach-anatomic-surgical-diagnostic-and-therapeutic
#19
REVIEW
F Itza Santos, J Salinas, D Zarza, F Gómez Sancha, A Allona Almagro
INTRODUCTION: The syndrome of pudendal nerve entrapment (SANP) is widely unknown and often misdiagnosed or confused with other diseases. It was first described by Amarenco in 1987. The classic clinical manifestation is pudendal neuralgia, a neuropathic pain in the genital area. OBJECTIVES: To make known its existence to the urology professionals through a systematic review of existing literature and its potential for diagnosis and treatment. MATERIAL AND METHODS: We performed a literature search through the database Pubmed using the terms Pudendal nerve, Pudendal nerve entrapment syndrome, Pelvic floor neuropathic pain, Pelvic floor myofascial syndrome, Pudendal nerve decompression...
June 2010: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/19468563/-bilateral-blockade-of-the-pudend-nerve-to-hemorrhoidectomy-in-achondroplasic-patient-case-report
#20
Bruno Salomé de Morais, Marcos Guilherme Cunha Cruvinel, Yerkes Pereira Silva, Dener Augusto Diniz, Carlos Henrique Viana de Castro
BACKGROUND AND OBJECTIVES: The achondroplasic dwarfism or achondroplasia is the most common form of dwarfism and occurs, in most of the cases, as a result of spontaneous genetic alteration. The anesthesia in these patients presents several particularities. The objective of the present report was to describe an achondroplasic patient case, with a previous history of surgical procedure of the vertebral column for medullar decompression, submitted to haemorrhoidectomy through the bilateral blockade of the pudend nerves...
April 2006: Revista Brasileira de Anestesiologia
keyword
keyword
109575
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"