International Urogynecology Journal

, Volume 21, Issue 5, pp 613–616 | Cite as

Pudendal nerve neuromodulation with neurophysiology guidance: a potential treatment option for refractory chronic pelvi-perineal pain

Case Report

Abstract

Refractory chronic pelvi-perineal pain (RCPPP) is a challenging entity that has devastating consequences for patient’s quality of life. Many etiologies have been proposed including pudendal neuralgia. Multiple treatment options are used but the reported results are sub-optimal and temporary. In this article, we present the technique of pudendal nerve neuromodulation with neurophysiology guidance as a treatment option for RCPPP. This technique is a two-step procedure that includes electrode implantation under neurophysiology guidance followed by the implantation of a permanent generator after a successful trial period. We report the cases of three women who underwent this procedure as a last-resort treatment option. After 2 years of follow-up, their symptoms are still significantly improved. No major complication occurred.

Keywords

Chronic pelvic pain Neurophysiology Neurostimulation Pudendal neuralgia Pudendal nerve 

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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  1. 1.Department of UrologyCentre Hospitalier Universitaire de SherbrookeSherbrookeCanada
  2. 2.Department of NeurologyCentre Hospitalier Universitaire de SherbrookeSherbrookeCanada

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