Update on pudendal nerve entrapment syndrome: an approach anatomic-surgical, diagnostic and therapeutic

Santos, F. Itza; Salinas, J.; Zarza, Daniel; Sancha, Fernando Gómez; Almagro, A. Allona

doi:10.1016/s2173-5786(10)70121-9

Cited by 14 publications

(18 citation statements)

References 23 publications

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“…Apart from pathologies related to the anatomical trace of the nerve (Pudendal Entrapment Syndrome), complex perineal pain syndromes can also be observed, such as Pudendal Neuralgia in which etiology is not very clear. [34] In addition, many pelvic interventions can cause injury to this nerve. Various approaches have been described for pudendal nerve blockade (S2-S4 blockade, transgluteal approach, transvaginal approach).…”

Section: Pudendal Nerve Blockadementioning

confidence: 99%

Ultrasound guided chronic pain interventions (Part I)

Akkaya

Alptekin

Özkan

2015

Agri

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SummaryRecently, ultrasonography (US) is an indispensible imaging technique in regional anesthesia practice. With the guidance of US, various invasive interventions in chronic pain pathologies of the musculoskeletal system, peripheral and neuroaxial pathologies has become possible. The management includes diagnostic blocks as weel as radiofrequency ablation and institution of neurolythic agents. During these algologic interventions we are able to see the target tissue, the dispersion of the drug and all nearby vascular structures. Besides these the US also protects the team from ionic radiation that one encounters when using flouroscopy or computed tomography. Latest publications in this field show that applicability of US in chronic pain syndromes is rapidly expanding with a good future. The additional equipment (echogenic needles, 3-D US etc.) will also expand its applications in algology practice. This review highlights different applications of US in chronic pain conditions. Keywords: Chronic pain; nerve blocks; ultrasound. ÖzetSon zamanlarda rejyonal anestezi pratiğinde ultrasonografi (US) vazgeçilmez görüntüleme tekniği olarak yerini almıştır. Ultrasonografi ile kas/iskelet, periferik ve nöraksial bölgelerin kronik ağrılı patolojilerde çeşitli invaziv girişimler yapmak olasıdır. Bu girişimler diagnostik bloklar, radyofrekans uygulamaları ve nörolitik ajanların uygulamaları olarak özetlenebilirler. Algolojik girişimler esnasında US; hedef dokuların görüntülenmesinde, uygulanan ilacın yayılımında, çevredeki vasküler yapıların görün-tülenmesinde büyük kolaylıklar sağlar. Ayrıca US ile floroskopi veya bilgisayarlı tomografi uygulamaları esnasındaki radyasyon yayılımı söz konusu değildir. Kronik ağrı girişimlerinde US ile yayınlanan klinik çalışmalar umut vericidir. Ayrıca son yıllarda bu alandaki gelişmeler (ekojen iğneler, üç boyutlu US cihazları vd.) US'nin algoloji pratiğindeki kullanımının daha da yaygınlaşaca-ğını düşündürmektedir. Bu derlemenin amacı, US eşliğinde yapılan çeşitli kronik ağrı girişimlerini gözden geçirmektir.

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Section: Pudendal Nerve Blockadementioning

confidence: 99%

Ultrasound guided chronic pain interventions (Part I)

Akkaya

Alptekin

Özkan

2015

Agri

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“…Pudendal neuropathy has been defined as a specific disease or pathology (nerve injury) with pain as a result and is not an indication for neurodynamic treatment [39].…”

Section: Tendonsmentioning

confidence: 99%

Chronic pelvic pain syndrome: Role of a thorough clinical assessment

Quaghebeur¹,

Wyndaele

2014

Scandinavian Journal of Urology

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Chronic pelvic pain syndrome (CPPS) presents with a variety of symptoms affecting multiple systems. There is no universal treatment that can be given to all patients with CPPS. The results of treatment depend greatly on an accurate diagnosis. A thorough clinical assessment, including a "four-step plan", should include paying special attention to the musculoskeletal system. This assessment is not difficult to perform and provides valuable information on possible muscular problems and neuropathy.

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“…The entrapment of the nerve on its anatomical course occurs mostly between the sacrospinous ligament anteriorly and the sacrotuberous ligament posteriorly in a ligament clamp (70% of the cases); entrapment may also occur in the Alcock's canal (20%) or under the piriformis muscle (10%) (Fig. ) . Symptoms of pudendal neuralgia include pain in anal and perineal regions, frequently when the patient is in the sitting position, and is possibly associated with neuropathic features such as numbness or tingling in the pudendal nerve territory …”

Section: Introductionmentioning

confidence: 99%