title: Pudendal nerve neuromodulation with neurophysiology guidance: a potential treatment option for refractory chronic pelvi-perineal pain.
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.
authors.affiliation: Department of Urology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada. maude.carmel@usherbrooke.ca
authors.forename: Maude
authors.initials: M
authors.lastname: Carmel
authors.forename: Michel
authors.initials: M
authors.lastname: Lebel
authors.forename: Le Mai
authors.initials: le M
authors.lastname: Tu
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D017699:Pelvic Pain / Q000628:therapy*; D010502:Perineum