Pudendal nerve neuromodulation with neurophysiology guidance: A potential treatment option for refractory chronic pelvi-perineal pain

Maude Carmel, Michel Lebel, Le Mai Tu

Research output: Contribution to journalArticle

26 Scopus citations

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 languageEnglish (US)
Pages (from-to)613-616
Number of pages4
JournalInternational Urogynecology Journal
Volume21
Issue number5
DOIs
StatePublished - May 2010

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Keywords

  • Chronic pelvic pain
  • Neurophysiology
  • Neurostimulation
  • Pudendal nerve
  • Pudendal neuralgia

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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