Neurovascular compression of the pudendal nerve

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Violet M
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Neurovascular compression of the pudendal nerve

Post by Violet M »

http://www.ncbi.nlm.nih.gov/pubmed/23596733

Ginecol Obstet Mex. 2013 Feb;81(2):105-8.
[May-Thurner syndrome as a cause of neurovascular compression of the pudendal nerve].
[Article in Spanish]
Ramírez García S, Gutiérrez Salinas J, Núñez Ramos NR, Maldonado Velázquez AJ, Hernández Rodríguez S, Carranza Castro H, García Ortiz L.
Source
Uromédica OSF, México DF. soteror@prodigy.net.mx

Abstract
May-Thurner syndrome is a clinical condition that results from narrowing of the left common iliac vein lumen due to pressure from the right common iliac artery as it crosses anterior to it. We describe an atypical case of May-Thurner syndrome in a 23-year-old woman that presented only continuous pain in pudendal zone without vascular symptoms. The Doppler ultrasound, nuclear magnetic resonance and others complementary analyses show the presence of a pelvic venous congestion syndrome and we hypothesized that this condition produced a neuropathic compression of the pudendal nerve in Alcock's canal. Patient was treated with the technique of pudendal nerve blockade by trans-gluteal via. An important reduction in pain of pudendal zone was showed.
PMID: 23596733 [PubMed - indexed for MEDLINE]
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.
Jami123
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Joined: Thu Nov 13, 2014 12:02 pm

Re: Neurovascular compression of the pudendal nerve

Post by Jami123 »

The Doppler ultrasound, nuclear magnetic resonance and others complementary analyses show the presence of a pelvic venous congestion syndrome and we hypothesized that this condition produced a neuropathic compression of the pudendal nerve in Alcock's canal. Patient was treated with the technique of pudendal nerve blockade by trans-gluteal via. An important reduction in pain of pudendal zone was showed.
PMID: 23596733 [PubMed - indexed for MEDLINE]
nyt
Posts: 1165
Joined: Sun Oct 31, 2010 3:24 am

Re: Neurovascular compression of the pudendal nerve

Post by nyt »

Interesting, thanks for posting.
2/07 LAVH and TOT 7/07 TOT right side removed 9/07 IL, IH and GN neuropathy 11/07 PN - Dr. Howard
6/08 Obturator neuralgia - Dr. Conway 11/08 Disability, piriformis syndrome - Dr. Howard
4/09 Bilateral obturator decompression surgery, BLL RSD - Dr. Howard
9/10 Removed left side TOT, botox, re-evaluate obturator nerve - Dr. Hibner
2/11 LFCN and saphenous neuralgia - Dr. Dellon 2/11 MRI with Dr. Potter - confirmed entrapment
5/11 Right side TG - Dr. Hibner 2012 Left side TG - Dr. Hibner
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