|
A patient that presents with
urogenital pain which is worsened in sedentary place but
is eased when he/she raised, is possible to suffer from
Pudendal Neuralgia.
Pudendal Neuralgia
is one from the “hidden” causes of
Chronic Pelvic Pain Syndrome.
Eventhough is not well known to Doctors, (and needless
to say to most patients), it is a clinical entity with
specified pathology, witch the diagnosis and the
treatment is the object of specialist in
Chronic Pelvic Pain Syndrome.
Pudendal Neuralgia
is presented as acute, stubbing, or burning pain that
extends from the anal region to the genitalia of men
and women, but also to the buttock or thighs.
It can coexist with urinary
frequency, difficulty in urination, urgency to void,
constipation, pain during bowel evacuation but also
sexual dysfunction.
Patients suffering from this type of
neuralgia, usually have visited a lot of doctors of
various specialities, have received various diagnoses
and treatments without however any result, and usually
their quality of life is heavily influenced from this
form of pain.
The Pudendal nerve can be damaged
from trauma (road accidents, falls), during childbirth,
Surgical interventions, but also -as often happens-
without any obvious cause, Pudendal nerve simply
produces a torturing sense of pain.
The diagnosis can be
achieved with clinical examination, using
Neurophysiological study methods of Pudendal
nerve (St Mark's electrode),
with the use of radiological methods like magnetic
tomography, and with diagnostic
laparoscopic
examination of the pelvis, which can be also
therapeutic.
Treatment which is based on the
correct diagnosis, includes special analgesic treatment,
local injection of analgesics to the suffering nerve,
and surgical (laparoscopic) nerve decompression, if the
other methods fail.
|
