Abstract
Refractory chronic pelvi-perineal pain (RCPPP) is a challenging entity that has devastating consequences for patient's quality of life. Many etiologies have been proposed including pudendal neuralgia. Multiple treatment options are used but the reported results are sub-optimal and temporary. In this article, we present the technique of pudendal nerve neuromodulation with neurophysiology guidance as a treatment option for RCPPP. This technique is a two-step procedure that includes electrode implantation under neurophysiology guidance followed by the implantation of a permanent generator after a successful trial period. We report the cases of three women who underwent this procedure as a last-resort treatment option. After 2 years of follow-up, their symptoms are still significantly improved. No major complication occurred.
Original language | English (US) |
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Pages (from-to) | 613-616 |
Number of pages | 4 |
Journal | International Urogynecology Journal |
Volume | 21 |
Issue number | 5 |
DOIs | |
State | Published - May 2010 |
Keywords
- Chronic pelvic pain
- Neurophysiology
- Neurostimulation
- Pudendal nerve
- Pudendal neuralgia
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Urology