Pudendal nerve entrapment as source of intractable perineal pain

American Journal of Physical Medicine and Rehabilitation

Volumn 82, Issue 6, 2003, Pages 479-484

  Ramsden, Christopher Edward ^a,b   McDaniel, Michael Craig ^a   Harmon, Robert L ^a   Renney, Kenneth M ^b   Faure, Alexis ^c  

^a MEDICAL COLLEGE OF GEORGIA   (United States)

^b Dept Orthopedics/Sports Med Assoc ^*  (United States)

^c NANTES UNIVERSITY HOSPITAL   (France)

Author keywords

Levator ani syndrome; Neuralgia; Orchialgia; Pain; Pelvic; Perineal; Proctalgia; Prostatodynia; Pudendal

Indexed keywords

DIAGNOSIS; STUDENTS; TOMOGRAPHY;

MEDICAL SCHOOL;

NEUROLOGY;

ADULT; ARTICLE; BARIUM ENEMA; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; DECOMPRESSION SURGERY; DIFFERENTIAL DIAGNOSIS; ELECTROMYOGRAPHY; FEEDBACK SYSTEM; HUMAN; INTRAVENOUS PYELOGRAPHY; LAPAROSCOPIC SURGERY; LEVATOR ANI MUSCLE; MALE; MICTURITION CYSTOURETHROGRAPHY; MUSCLE STRETCHING; MYOFASCIAL RELEASE; NERVE BLOCK; NERVE COMPRESSION; NERVE DECOMPRESSION; NEURALGIA; PAIN; PELVIS; PERINEUM; PHYSIOTHERAPY; PROSTATE; PROSTATITIS; PUDENDAL NERVE; SYNDROME DELINEATION; TESTIS; TRACTION THERAPY; ULTRASOUND; INNERVATION; INTRACTABLE PAIN; REVIEW;

ADULT; DECOMPRESSION, SURGICAL; HUMANS; MALE; NERVE COMPRESSION SYNDROMES; PAIN, INTRACTABLE; PERINEUM;

EID: 85047687664     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PHM.0000069196.15353.7D     Document Type: Article

References (26)

1. Wesselmann U, Burnett AL, Heinburg LJ: The urogenital and rectal pain syndromes Pain 1997;73:269-94
2. Robert R, Prat-Pradal D, Labatt JJ, et al: Anatomic basis of chronic perineal pain: Role of the pudendal nerve. Surg Radiol Anat 1998;20:93-98
3. Robert R, Bensignor M, Labatt JJ, et al: Chronic perineal pain and the pudendal nerve [in French]. Ann Orthop Ouest 1999;31:71-74
4. Bensignor M, Labat JJ, Robert R, et al: Perineal pain, anorectal, and urogenital [in French]. Douleurs 2000;1:131-142
5. Benson JT: Pelvic Floor Neurophysiology: An AAEM Workshop. Rochester, MN, American Association of Electrodiagnostic Medicine, 1998
6. Shafik A, Doss SH: Pudendal canal: Surgical anatomy and clinical implications. Am Surg 1999;65:176-80
7. Last RJ: Anatomy: Regional and Applied, ed 6. NewYork, Churchill Livingstone, 1978, pp 357-8
8. Amarenco G, Savatovsky I, Budet C, et al: Perineal neuralgia and Alcock's canal syndrome [in French]. Annales de Urologie 1989;23:488-92
9. Oberpenning F, Roth S, Leusmann DB, et al: The Alcock syndrome: Temporary penile insensitivity due to compression of the pudendal nerve within the Alcock canal. J Urol 1994;151:423-5
10. Anderson KV, Bovim G: Impotence and nerve entrapment in long-distance amateur cyclists. Acta Neurol Scand 1997;95:233-40
11. Tagnetti F, Poppi M, Gaist G, et al: Pudendal neuralgia due to solitary neurofibroma: Case report. J Neurosurg 1982;56:732-3
12. Howard EJ: Postherpetic pudendal neuralgia. JAMA 1985;253:2196
13. Hagen NA: Sharp, shooting pain in the rectum or genitals: Pudendal neuralgia. J Pain Symptom Manage 1993;8:496-501
14. Alevizon SJ, Finan MA: Sacrospinous colpopexy: Management of postoperative pudendal nerve entrapment. Obstet Gynecol 1996;88:713-5
15. Amarenco G, Ismael SS, Bayle B, et al: Electrophysiologic analysis of pudendal neuropathy following traction. Muscle Nerve 2001;24:116-9
16. Turner ML, Marinoff SC: Pudendal neuralgia. Am J Obstet Gynecol 1991;165:1233-6
17. McKay M: Vulvodynia: Diagnostic patterns. Dermatol Clin 1992;10:423-33
18. Jones KD, Lehr ST: Vulvodynia: Diagnostic techniques and treatment modalities. Nurse Pract 1994;19:37-46
19. Amarenco G, Kerdraon J, Bouju P: Treatments of perineal neuralgia caused by involvement of the pudendal nerve [in French]. Revue Neurologique 1997;153:331-4
20. Amarenco G, Lanoe Y, Perrigot M, et al: A new canalar syndrome: Compression of the pudendal nerve in the pudendal canal of Alcock with perineal paralysis in cyclists [in French] Presse Med 1987;16:399
21. Pisani R, Stubinski R, Datti R: Entrapment neuropathy of the internal pudendal nerve: Report of two cases. Scand J Urol Nephrol 1997;31:407-410
22. Shafik A: Pudendal canal syndrome as a cause of vulvodynia and its treatment by pudendal nerve decompression. Eur J Obstet Gynecol Repro Biol 1998;80:215-220
23. Mauillon J, Thoumas D, Leroi AM, et al: Results of pudendal nerve neurolysis: Transposition in twelve patients suffering from pudendal neuralgia. Dis Colon Rectum 1999;42:186-92
24. Thoumas D, Leroi AM, Mauillon J, et al: Pudendal neuralgia: CT-guided pudendal nerve block technique. Abdom Imaging 1999;24:309-312
25. McDonald JS, Spigos DG: Computed tomography-guided nerve block for treatment of pelvic pain due to pudendal neuropathy. Obstet Gynecol 2000;95:306-9
26. Calvillo O, Skaribas IM, Rockett C: Computed tomography-guided pudendal nerve block: A new diagnostic approach to long-term anoperineal pain. Reg Anesth Pain Med 2000;25:420-3