Pudendal nerve release for lower urinary tract symptoms in young males.
Low Urin Tract Symptoms
; 13(2): 286-290, 2021 Apr.
Article
in En
| MEDLINE
| ID: mdl-33283436
ABSTRACT
OBJECTIVES:
The aim of this study was to assess the efficacy of laparoscopic transperitoneal pudendal decompression in the improvement of refractory lower urinary tract symptoms (LUTS) in young males presenting with clinical features of pudendal nerve entrapment with no known comorbidities that could explain their LUTS.METHODS:
This is a prospective pilot study involving patients suffering from LUTS refractory to standard treatment and clinical features of pudendal nerve entrapment on physical examination. They underwent laparoscopic transperitoneal pudendal decompression. International Prostate Symptom Score (IPSS) and maximal flow (Qmax) on uroflowmetry were evaluated before and 3 months after the procedure.RESULTS:
Five male patients aged 34 ± 4 years were recruited. The median IPSS differed significantly before and 3 months after the procedure (18 vs 8, P = .042); likewise, median Qmax differed significantly before and 3 months after the procedure (12 vs 18 mL/s, P = .042).CONCLUSION:
Pudendal nerve entrapment syndrome should be considered as a main differential diagnosis for refractory LUTS in young males with no other comorbidities. When clinical features of pudendal nerve entrapment are present, laparoscopic transperitoneal pudendal decompression relieves LUTS in these young males.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pudendal Nerve
/
Pudendal Neuralgia
/
Lower Urinary Tract Symptoms
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Low Urin Tract Symptoms
Year:
2021
Document type:
Article
Affiliation country:
Belgium