Diagnostic and therapeutic algorithm for pudendal nerve entrapment syndrome.

Autor:	Luesma MJ; Departamento de Anatomía e Histología Humanas, Universidad de Zaragoza, Zaragoza, España. Electronic address: mjluesma@unizar.es., Galé I; Complejo Hospitalario de Navarra, Pamplona, España., Fernando J; Servicio de Cirugía General y del Aparato Digestivo, Hospital Royo Villanova, Zaragoza, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2021 Jul 23; Vol. 157 (2), pp. 71-78. Date of Electronic Publication: 2021 Apr 06.
DOI:	10.1016/j.medcli.2021.02.012
Abstrakt:	Pudendal nerve entrapment syndrome is widely unknown and often misdiagnosed or confused with other pelvic floor diseases. The aim is to develop a diagnostic and therapeutic algorithm based on a review of the existing literature. For its diagnosis, an anamnesis will be carried out in search of possible aetiologies, surgical history, and history of pain, assessing location and irradiation, intensity on the visual analogue scale, timing, triggering factors and rule out alarm signs. A physical examination will be performed, looking for trigger points or areas of fibrosis with transvaginal / transrectal palpation of the terminal branches of the nerve. With a doubtful diagnosis, an anaesthetic block of the pudendal nerve can be performed. Once the diagnosis is confirmed, the treatment will begin staggered with lifestyle changes, drug therapy and physiotherapy. In view of the failure of these measures, invasive therapies such as botulinum toxin injection, pulsed radiofrequency and decompression surgery or spinal cord stimulation will be used. (Copyright © 2021 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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