Pudendal nerve neuromodulation with neurophysiology guidance: a potential treatment option for refractory chronic pelvi-perineal pain
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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.
KeywordsChronic pelvic pain Neurophysiology Neurostimulation Pudendal neuralgia Pudendal nerve
We thank Tania Fayad, Ph.D., for critical reading of the article.
Conflict of interest