title: [Neuralgia of the pudendal nerve following violent trauma: analgesia by pudendal neuromodulation].
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.
authors: Schwerpunkt für Neuro-Urologie, Stiftung Katholisches Krankenhaus Marienhospital, Klinikum der Ruhr-Universität Bochum, Widumer Straße 8, 44627 Herne, Deutschland. kai.heinze@marienhospital-herne.de
authors: K
authors: K
authors: Heinze
authors: M
authors: M
authors: Nehiba
authors: A
authors: A
authors: van Ophoven
mesh_terms: D005260:Female; D006801:Humans; D059348:Peripheral Nerve Injuries / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D060545:Pudendal Neuralgia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*