Purpose: We evaluated a new technique to study the terminal sensory branches of the pudendal nerve in 30 normal men.
Materials And Methods: To elicit response endorectal stimulation of the pudendal nerve was delivered just to the left then right of the ischiatic spine using an electrode. The sensory potential was recorded in the balanopreputial zone with ring contact electrodes wrapped around the shaft of the penis. From 5 to 40 responses were averaged to obtain the sensory potential.
Results: The pudendal nerve terminal sensory response was obtained for each normal subject. Mean latency value plus or minus standard deviation was 5.35+/-0.97 milliseconds for the left side with a mean amplitude of 4.24 microV. and 5.33-/+0.77 milliseconds for the right side with a mean amplitude of 3.77 microV.
Conclusions: This method allows comparative study of the right and left terminal sensory branches of the pudendal nerve, and may be helpful in the diagnosis of different perineal disorders, such as sexual dysfunction, perineal pain and fecal incontinence, but further experience is necessary.
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Mol Neurobiol
January 2025
Department of Urology, Yantai Yuhuangding Hospital, Qingdao University, No. 20 East Yuhuangding Road, Yantai, 264000, Shandong, China.
Stress urinary incontinence (SUI) currently lacks effective treatment options, and the restoration of neurological function remains a major challenge, with unmet clinical needs. Research has indicated that adipose-derived stem cells (ADSCs) can be induced to differentiate into neural-induced adipose-derived stem cells (NI-ADSCs) under specific inductive conditions, exhibiting excellent neuroregenerative capabilities. ADSCs were obtained from female SD rats and induced into NI-ADSCs.
View Article and Find Full Text PDFCurr Pain Headache Rep
January 2025
Department of Anesthesia, Division of Pain Medicine, University of Virginia, Charlottesville, VA, USA.
Purpose Of Review: This paper aims to review pudendal neuralgia pathophysiology, risk factors, diagnosis, and treatment options.
Recent Findings: Conservative and pharmacologic options are first line treatments for the treatment of pudendal neuralgia. Interventional treatment such as, pudendal nerve blocks can be tried if first line treatments feel to provide adequate analgesia.
Int Urogynecol J
January 2025
Vitale Private Obstetrics & Gynecology Hospital, Antalya, Türkiye.
Introduction And Hypothesis: Pudendal nerve release can be managed by the laparoscopic approach for pudendal nerve entrapment.
Methods: This is a case report of a stepwise demonstration of the technique with narrated video footage. A 71-year-old woman, gravid 7, parity 3, abortion 4, live births 3 vaginal delivery, complained of pain while sitting.
Sex Med
December 2024
Department of Clinical Investigation, Madigan Army Medical Center, Tacoma, Washington 98431, United States.
Background: Pelvic trauma can have long-lasting debilitating effects, including severe erectile dysfunction (ED) in men. While there are effective treatments for ED, these treat the symptoms not the cause. Those who suffer from an acute traumatic injury to the neurovascular supply of penis, may benefit from regenerative therapy.
View Article and Find Full Text PDFMedwave
January 2025
Unidad de Ginecología, Hospital El Carmen Dr. Luis Valentín Ferrada, Santiago, Camino Rinconada 1202 Maipú, 9274443, Chile.
Female genital prolapse, especially apical prolapse, significantly affects women's health and quality of life. Sacrospinous hysteropexy is a widely used surgical procedure to address this condition, presenting few postoperative complications. However, one of the reported complications is neuropathic pain resulting from damage to the branches of the pudendal nerve.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!