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| http://dx.doi.org/10.1590/0100-3984.2019.0050 | DOI Listing |
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The pudendal syndrome: A photo essay of nerve compression damage visualized at neurolysis in patients with chronic neuropathic pelvic pain.
Neurourol Urodyn
November 2024
Center for Urologic and Pelvic Pain, St. Paul, Minnesota, USA.
Aims: (1) To use intraoperative photographs to visualize and explain pudendal nerve compressions and anatomical variations of compression sites in patients with chronic pelvic pain. (2) To emphasize the diagnostic importance of sensory examination with a safety pin at the six pudendal nerve branches in all patients with chronic pelvic pain; the dorsal nerves (penis or clitoris; the perineal nerves; and the inferior rectal nerves).
Methods: Between 2003 and 2014, "definite" pudendal neuropathy was diagnosed by examination and with two neurophysiologic tests.
Robot-Assisted Exploration of the Alcock Canal: A Novel Surgical Technique.
J Minim Invasive Gynecol
December 2024
Division Director of Urogynecology and Pelvic Reconstructive Surgery, Hackensack University Medical Center (Dr. Shakiba), Hackensack, NJ; Hackensack University Medical Center (Dr. Kolesnikova), Hackensack, NJ.
Article Synopsis
- The study aimed to showcase a new surgical method for effectively decompressing the pudendal nerve through the Alcock canal, enhancing safety and reproducibility.
- Detailed video documentation is provided to demonstrate this step-by-step process.
- A case involving a 44-year-old woman with debilitating pelvic pain highlights the successful implementation of the technique, resulting in significant symptom relief without immediate complications.
Percutaneous Retrograde Trans-Gluteal Embolization of Type 2 Endoleak Causing Iliac Aneurysm Enlargement after Endovascular Repair: Case Report and Literature Review.
J Clin Med
May 2024
Department of Surgery, Sapienza University of Rome, 00185 Rome, Italy.
Late type II endoleaks (T2ELs) arising from the internal iliac artery (IIA) may present during follow-up after endovascular aortic repair (EVAR) of aortoiliac aneurysm and may warrant embolization if enlargement of the aneurysmal sac is demonstrated. When coverage of the IIA ostium has been made due to extensive iliac disease, access options can be challenging. Different treatment options have been reported over recent years, and a careful selection of the best one must be made based on the characteristics of each case.
View Article and Find Full Text PDF3.0-T MR-guided transgluteal in-bore-targeted prostate biopsy under local anesthesia in patients without rectal access: a single-institute experience and review of literature.
Abdom Radiol (NY)
April 2024
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, 44106, USA.
Purpose: To describe the technique and evaluate the performance of MRI-guided transgluteal in-bore-targeted biopsy of the prostate gland under local anesthesia in patients without rectal access.
Methods: Ten men (mean age, 69 (range 57-86) years) without rectal access underwent 13 MRI-guided transgluteal in-bore-targeted biopsy of the prostate gland under local anesthesia. All patients underwent mp-MRI at our institute prior to biopsy.
Postoperative lymphedema after primary total hip arthroplasty: prospective analysis of bikini incision-type direct anterior approach versus established standard approaches.
J Orthop Surg Res
January 2024
Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Background: Minimally invasive approaches to the hip joint for total hip arthroplasty such as the DAA ("Direct Anterior Approach with bikini incision") are increasingly utilized. According to the literature, this approach is more muscle-sparing, results in less postoperative pain, and achieves higher patient satisfaction. The existence of postoperative lymphedema after hip arthroplasty is hardly considered.
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