Citation

Heinze K, Nehiban M, von Ophoven A. Urologe A 2012; 51(8): 1106-1108.

Vernacular Title

Nervus-pudendus-Neuralgie infolge Gewalttrauma : Schmerzlinderung durch pudendale Neuromodulation.

Affiliation

Schwerpunkt für Neuro-Urologie, Stiftung Katholisches Krankenhaus Marienhospital, Klinikum der Ruhr-Universität Bochum, Widumer Straße 8, 44627, Herne, Deutschland, kai.heinze@marienhospital-herne.de.

Copyright

(Copyright © 2012, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00120-012-2949-8

PMID

22751935

Abstract

Pudendal neuralgia is a neuropathic disease which is predominantly caused by pelvic trauma with pressure or stretching strain of the pudendal nerve. The Nantes criteria are used for the differential diagnostics of this disease and therapy includes pressure-relieving and analgesic measures using laparoscopic or open decompression procedures. This article reports the case of a female patient who developed pudendal neuralgia following violent trauma to the pelvic and urogenital regions. Due to the complexity of the symptoms combined sacral and pudendal neuromodulation (PNM) was carried out. A direct comparison of neuromodulative techniques revealed that PNM was superior resulting in almost complete freedom from pain. The PNM procedure could represent a therapeutic option for treatment of pudendal neuralgia.

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