[Modern algorithm for treating pudendal neuralgia: 212 cases and 104 decompressions]. / La prise en charge moderne des névralgies pudendales. A partir d'une série de 212 patientes et 104 interventions de décompression.
J Gynecol Obstet Biol Reprod (Paris)
; 32(8 Pt 1): 705-12, 2003 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-15067894
ABSTRACT
Clinical signs and symptoms of the pudendal neuralgia are very rich, with a great individual variability. The clinical diagnosis is difficult. It is confirmed or invalidated by the electrophysiologicals tests. Since October 1998 patient selection has been possible using a diagnosis score. Over a four-year period, the diagnosis of pudendal neuralgia was confirmed by electrophysiological investigations in 212 subjects. We rejected 12 patients because of a radiculo-medullary organic etiology. We only describe here cases of women with a peripheral pudendal nerve injury (200 patients). Thirty-eight neuropathies free of canal symptoms (obstetrical, post-traumatic...) were treated by infiltration therapy. The study of a total of 162 canal syndromes showed prevalent injury at the sacro-spino-tuberal ligamental grip which was observed in 68% of the cases, compared to the Alcock canal which was present in only 20% of the cases. One hundred four of these patients underwent surgical decompression via a trans-ischio-rectal approach after negative results of the infiltration therapy. We report here the surgical methodology, the post-op follow-up and the results, which appear quite successful after one year 86% of the subjects are symptom-free or with a significant reduction of pain.
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Base de datos:
MEDLINE
Asunto principal:
Canal Anal
/
Vagina
/
Neuralgia
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Año:
2003
Tipo del documento:
Article