Estimate of the proportion of uncertain diagnoses of pudendal neuralgia in women with chronic pelvic‐perineal pain: A systematic review with a descriptive data synthesis

@article{Indraccolo2020EstimateOT,
  title={Estimate of the proportion of uncertain diagnoses of pudendal neuralgia in women with chronic pelvic‐perineal pain: A systematic review with a descriptive data synthesis},
  author={Ugo Indraccolo and Roberto Nardulli and Salvatore Renato Indraccolo},
  journal={Neurourology and Urodynamics},
  year={2020},
  volume={39},
  pages={890 - 897}
}
There is a gap between pudendal neuralgia (PN) due to pudendal entrapment syndrome and PN without pudendal entrapment syndrome. The latter could have atypical symptoms. 

When and How to Utilize Pudendal Nerve Blocks for Treatment of Pudendal Neuralgia.

The anatomy and methodology on when and how to perform pudendal blocks in the office is reviewed to better inform the general gynecologist on how to implement offering this treatment in the outpatient clinical setting.

Endoscopic trans gluteal minimal‐invasive approach for nerve liberation (ENTRAMI technique) in case of pudendal and/or cluneal neuralgia by entrapment: One‐year follow‐up

The clinical outcome of patients suffering from pudendal and/or cluneal nerve entrapment at 1 year after this minimal invasive surgery, based on the open trans gluteal approach who has proven its efficacy compared to medical treatment in a randomized control trial is evaluated.

Advances in the therapeutic approach of pudendal neuralgia: a systematic review

There are no current recommendations based on treatment efficacies for pudendal neuralgia, and future research in this field should focus on prospective cohort studies with high levels of evidence, aimed at assessing the long-term, if not permanent, benefits of available therapies.

References

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A systematic review of the published treatments of PN in order to help physician to take their decision to treat PN.

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Criteria that can help to the diagnosis of pudendal neuralgia by pUDendal nerve entrapment syndrome are defined.

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Clinical characteristics include pelvic pain with sitting which increases throughout the day and decreases with standing or lying down, sexual dysfunction and difficult with urination and/or defecation.

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[Pudendal nerve entrapment syndrome].

The main symptom is neuropathic pain in the perineal area and the diagnosis is based on the clinical history, physical examination and the confirming neurophysiologic tests.

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To compare the effect of corticosteroids combined with local anaesthetic versus local anaesthetic alone during infiltrations of the pudendal nerve for pudendal nerve entrapment.

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Careful history taking and examination can in itself be therapeutic and will likely identify a number of causal and perpetuating factors which should be managed within the context of a multidisciplinary clinic.

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The aim of the present study was to evaluate the most frequent associations between bladder pain syndrome/interstitial cystitis and gynecological disorders.

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The condition of pudendal neuralgia (PN) is reviewed and its role in chronic pelvic pain in women and clinical diagnostic criteria were recently discussed and published by a multidisciplinary working party in Nantes (France 2006).

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The present case suggests that PEA could be a valuable pharmacological alternative to the most common drugs (anti-epileptics and antidepressants) used in the treatment of neuropathic pain.