Pudendal nerve: an anatomical review with a clinical approach.
DOI:
https://doi.org/10.47924/neurotarget201935Abstract
Chronic pelvic pain is an entity that constitutes a medical challenge due to its devastating consequences on the quality of life and the complexity in the therapeutic diagnostic management of many patients. A prevalence range is estimated from 5.7% to 26% in women, and 8% in men. It manifests itself with perineal pain that can make it difficult for the patient to sit, which affects her quality of life and can often have a negative impact on her personality. It is of multiple etiology, but for the purposes of this article neuralgia of the pudendal nerve will be prioritized.
Metrics
References
Ahangari A. Prevalence of chronic pelvic pain among women: an updated review. Pain Physician 2014; 17 (2) : E141-E147.
Amarenco G et al. A new canal syndrome: compression of the pudendal nerve in Alcock’s canal or perineal paralysis of cyclists. Presse Med , 1987; 16 : 399.
Anderson RU et al. The role of pelvic floor therapies in chronic pelvic pain syndromes. Curr Prostate Rep 2008; 6 (3) : 139-44.
Chiarioni G, et al. Chronic proctalgia and chronic pelvic pain syndromes: New etiologic insights and treatment options. World J Gastroenterol 2011; 17 : 47-55.
Erdogru T, et al. Laparoscopic pudendal nerve decompression and transposition combined with omental flap protection of the nerve (Istanbul technique): technical description and feasibility analysis. Surg Endosc 2014; 28 : 25-932.
Hough et al. Chronic perineal pain caused by pudendal nerve entrapment: anatomy and CTguided perineural injection technique. AJR 2003; 181 : 561-7.
Insola A et al. Alcock canal syndrome due to obturator internus fibrosis. Muscle Nerve 2010; 42 : 431-2.
Lazarou G et al Anatomic variations of the pelvic floor nerves adjacent to the sacrospinous ligament: a female cadaver study. Int Urogynecol J 2008; 19 : 649-54.
Loukas M et al. Anatomical and surgical considerations of the sacrotuberous ligament and its relevance in pudendal nerve entrapment syndrome. Surg Radiol Anat 2006;28:163-9.
Martinoli C et al. Imaging of neuropathies about the hip. Eur J Radiol 2013; 82 (1) : 17-26.
Moore KL, Dalley AF Clinically oriented anatomy. 4th edn. Lippincott Willimas & Wilkins, Philadelphia, pp 340-1, 1999.
Pailhé R et al. Pudendal nerve neuralgia after hip arthroscopy: retrospective study and literature review. Orthop Traumatol Surg Res 2013; 99 (7) : 785-90.
Robert RO et al. Advances and Technical Standards in Neurosurgery. Edited by J. D. Pickard, (Editor.in.Chief) et col. Springer Wien NewYork., Vol 32 pp 42, 2007.
Robert RO, et al. Anatomic basis of chronic perianal pain: role of the pudendal nerve. Surg Radiol Anat 1998; 20 : 93-8.
Roberts RO, et al. A review of clinical and pathological prostatits syndromes. Urology 1997: 49 : 809-21.
Theodoros Soldatos et al. High.Resolution 3.T MR Neurography of the Lumbosacral Plexus. RadioGraphics 2013; 33 : 967-87.
Turner ML et al. Pudendal neuralgia. Am J Obstet Gynecol 1991; 165 (4 Pt 2) : 1233-6.
Spinosa JP et al. Sacred staged reflexes to localize the pudendal compression: An anatomical evaluation of the concept. Rev Med Suisse 2006; 2 : 2416-21.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Guillermo Larrarte, Sebastián Lobbosco, Marialina Hughes, Sofía Rojas, Nicolás Basanta, Bruno Buchholz
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
