Sacral Neuromodulation as a Treatment for Pudendal Neuralgia

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Sacral Neuromodulation as a Treatment for Pudendal Neuralgia

Postby wannagetbetter » Wed Oct 21, 2015 6:56 pm

They say pudendal neuralgia but I hope this applies to PNE too. Comments?
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Case Report

http://www.ncbi.nlm.nih.gov/pubmed/25247915


AbstractSend to:
Pain Physician. 2014 Sep-Oct;17(5):E645-50.
Sacral neuromodulation as a treatment for pudendal neuralgia.
Valovska A, Peccora CD, Philip CN, Kaye AD, Urman RD1.
Author information

Abstract
Pudendal neuralgia is a debilitating pain syndrome, and finding long-lasting treatment modalities has been challenging in pain management. The pudendal nerve has sensory and motor functions, and influences autonomic functions. Thus, entrapment or damage of this nerve can have multiple serious implications. The constellation of symptoms which result from injury to this nerve is commonly referred to as pudendal neuralgia. When conservative therapy does not provide adequate pain relief and surgical procedures fail or are not viable options, central and peripheral nerve stimulation can be effective treatment modalities. More recent approaches to treatment include the use of peripheral nerve stimulation through the use of an electrical lead placed next to the pudendal nerve in the ischioanal fossa. Also, epidural stimulation of the conus medullaris and pulsed radiofrequency ablation of the pudendal nerve have been shown to be effective in small patient populations. We present the case of a 36-year-old woman who sustained pudendal nerve injury during a hysterectomy and subsequently developed intractable pelvic pain and pudendal neuralgia. Conservative treatment measures failed, but she obtained excellent results from peripheral nerve stimulator therapy. Permanent implantation consisted of 4 tined Interstim leads, individually placed into the bilateral S3 and S4 foramina. The patient has been followed for approximately 4 years since her procedure, demonstrating increased function as she is able to stand and sit for prolonged periods of time. She has returned to her usual daily activities, including horseback riding. This is the first reported case of transforminal sacral neurostimulation providing excellent relief of pudendal neuralgia related symptoms.
PMID: 25247915 [PubMed - indexed for MEDLINE] Free full text
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Re: Sacral Neuromodulation as a Treatment for Pudendal Neura

Postby Violet M » Tue Oct 27, 2015 3:50 am

wannagetbetter wrote:They say pudendal neuralgia but I hope this applies to PNE too. Comments?


It should apply to PN pain whatever the cause, including PNE. It's only one case but it sounds hopeful.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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