Participation of pudendal innervation in detrusor overactivity and in overactive bladder syndrome

Chamorro, M. Vírseda; Salinas-Casado, Jesús; Zarza-Luciáñez, D.; Méndez-Rubio, Santiago; Pelaquim, H.; Esteban-Fuertes, M.

doi:10.1016/j.acuroe.2011.07.004

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Extrinsic lesions (PN entrapment) do not include any loss of sensation or feeling of numbness in pudendal dermatomes but on the contrary imply hyperesthesia without troubles of micturition or continence. In neurogenic PN damages, loss of sensation or numbness selectively is usually combined with contralateral anal deviation due to homolateral perineal/perianal myoatrophia; urodynamic testing can show bladder overactivity [3] but may also be normal. Urethral incontinence occurs only in bilateral neurogenic PN damages.…”

Section: Pudendal Neuralgia – Symptomatologymentioning

confidence: 99%

Voiding Dysfunction Associated with Pudendal Nerve Entrapment

Possover

Forman

2012

Curr Bladder Dysfunct Rep

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Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urinary incontinence can occurred. PNE can be caused by obstetric traumas, scarring due to genitoanal surgeries (prolaps procedures!), accidents and surgical mishaps. Diagnosis is based on anamnesis, clinical examination including vaginal or rectal palpation of the pelvic nerves with selective nerve blockade. Pudendal pain non systematic mean PNE since other neuropathies may induce pudendal pain. So sacral radiculopathies (sacral nerves roots S#2-4) are underestimated etiologies frequently responsible for pudendal pain with irradiation in sacral dermatomes, bladder hypersensitivity or in neurogenic lesions, bladder retention.

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Section: Pudendal Neuralgia – Symptomatologymentioning

confidence: 99%

Voiding Dysfunction Associated with Pudendal Nerve Entrapment

Possover

Forman

2012

Curr Bladder Dysfunct Rep

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“…In neurogenic PN damage, loss of sensation or numbness selectively is usually combined with contralateral anal deviation due to homolateral perineal/perianal myoatrophia. Urodynamic testing can show bladder overactivity [2] but may also be normal. Urethral incontinence occurs only in bilateral neurogenic PN damage.…”

Section: Most Frequent Neuropathic Pelvic Painmentioning

confidence: 99%

Neuropelveological assessment of neuropathic pelvic pain

Possover

Forman

2014

Gynecol Surg

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The aim of the present report is to emphasize the importance of taking neurological considerations into account in the diagnostic workup of chronic pelvic pain (CPP) of "unknown origin." Based on new knowledge of the functional neuroanatomy of the pelvis and recent developments in the treatment of pelvic neuropathies, we incorporated well-known neurologic diagnostic methods into the classical gynecological workup for CPP. "Neuropelveological" assessment of CPP in women requires a detailed gynecological and neurologic history, a classical gynecological workup, and an adapted "gynecological" examination of the pelvic nerves and plexuses. The present report provides guidelines for "neuropelveological" assessment of chronic pelvic pain in clinical practice. It emphasizes the benefits of taking "neurological" considerations into account when diagnosing chronic pelvic pain.

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Participation of pudendal innervation in detrusor overactivity and in overactive bladder syndrome

Cited by 2 publications

References 15 publications

Voiding Dysfunction Associated with Pudendal Nerve Entrapment

Voiding Dysfunction Associated with Pudendal Nerve Entrapment

Neuropelveological assessment of neuropathic pelvic pain

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