Voiding Dysfunction Associated with Pudendal Nerve Entrapment

被引：30

作者：

Marc Possover

A. Forman

机构：

[1] Department for Gynecology/Oncology and Neuropelveology, Hirslanden Clinic, Zürich

[2] Department of Gynecology and Neuropelveology, University of Aarhus, Aarhus

来源：

Current Bladder Dysfunction Reports | 2012年 / 7卷 / 4期

关键词：

Alcock's canal syndrome; Pudendal neuralgie; Pudendal pain; Sacral radiculopathies; Vulvodynia;

D O I：

10.1007/s11884-012-0156-5

中图分类号：

学科分类号：

摘要：

Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urinary incontinence can occurred. PNE can be caused by obstetric traumas, scarring due to genitoanal surgeries (prolaps procedures!), accidents and surgical mishaps. Diagnosis is based on anamnesis, clinical examination including vaginal or rectal palpation of the pelvic nerves with selective nerve blockade. Pudendal pain non systematic mean PNE since other neuropathies may induce pudendal pain. So sacral radiculopathies (sacral nerves roots S#2-4) are underestimated etiologies frequently responsible for pudendal pain with irradiation in sacral dermatomes, bladder hypersensitivity or in neurogenic lesions, bladder retention. © 2012 The Author(s).

引用

页码：281 / 285

页数：4

共 18 条

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