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논문 기본 정보

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학술저널
저자정보
Carlo Giulioni (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Giacomo Maria Pirola (Departmant of Urology, San Giuseppe Hospital, Multimedica Group) Martina Maggi (Department of Maternal-Infant and Urological Sciences, Umberto I Polyclinic Hospital, Sapienza University) Lucia Pitoni (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Demetra Fuligni (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Mattia Beltrami (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Vanessa Palantrani (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Virgilio De Stefano (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Valentina Maurizi (Department of Clinical and Molecular Sciences, Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Daniele Castellani (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche) Andrea Benedetto Galosi (Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche)
저널정보
대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal Vol.28 No.1
발행연도
2024.3
수록면
11 - 21 (11page)
DOI
10.5213/inj.2448010.005

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To assess the effectiveness and safety of various techniques of pudendal nerve neurolysis (PNN) in patients with pudendal nerve entrapment (PNE). A comprehensive literature search was conducted on May 20th, 2023, using Scopus, PubMed, and Embase databases. Only studies in English involving adults were accepted, while meeting abstracts and preclinical studies were excluded. A total of 34 papers were included. Transperineal PNN emerged as a promising technique, demonstrating significant potential in alleviating pain, restoring erectile function in males, and improving the resolution of urinary stress incontinence in females. Furthermore, the bilateral approach consistently yielded positive outcomes in addressing urinary symptoms. The transgluteal technique appeared particularly suitable for cases of posterior PNE, situated between the sacrospinous ligament and the lesser sciatic foramen. A progressive amelioration of painful symptoms was observed during follow-up. Minimally invasive PNN is evolving and enables decompression along the entire proximal tract up to the Alcock canal, minimizing the risk of comorbidi ties. In addition to reducing pudendal neuralgia, robot-assisted and laparoscopic approaches determined a reduction in lower urinary tract symptoms and an improvement in erectile function, though further studies are required to corroborate these find ings. PNN emerges as an effective treatment for PNE with minimal morbidity. Therefore, PNN should be tailored according to the site of PNE to enhance functional outcomes and improve patient quality of life.

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