Scrotal musculocutaneous or advancement flaps provides good quality and elastic skin with reliable blood supply derived from anterior scrotal branches of the deep external
pudendal artery.
Herein, we report a rare and late presentation of
pudendal neuralgia in a patient with fibromyalgia after pilates exercises in the light of literature data.
It has been suggested that preservation of the
pudendal nerve during surgical procedures may be important for postoperative sexual and urinary function,[23] and that injury to the
pudendal nerve may cause sexual and bladder dysfunction.[24] However, the end branches of the
pudendal nerves are close to the lateral excision plane and may be damaged at the pelvic sidewall during the perineal procedure of ELAPE.
Long term effects of muscle-derived stem cells on leak point pressure and closing pressure in rats with transected
pudendal nerves.
We've found that identifying and treating pelvic floor dysfunction with modalities such as pelvic floor physical therapy with intravaginal myofascial release, intravaginal Valium, trigger point injections into the levator complex,
pudendal nerve blocks, and neuromodulation can frequently resolve or significantly lessen the patient's pain and bladder symptoms, suggesting that the diagnosis of IC / BPS was wrong.
Type of technique Technique Effectiveness Complications Pharmacological Peridural block +++ + Combined ++++ +++ analgesia Peripheral block ++ ++ (paracervical) Peripheral block ++ ++ (
Pudendal) Inhaled: nitrous + - oxide Inhaled: + +++ halogenated agent (sevoflurane) IV analgesia: ++ + opioids Non- Relaxation techniques pharmacological Water immersion + - Massage + - Acupuncture + - Breathing + - modulation Music and audio- + - analgesia Aromatherapy + - Psychological techniques Hypnosis + - Mechanical techniques TENS + - Source: Authors.
During the procedure, extravasation from the right
pudendal artery was observed [Figure 1].
The superficial femoral artery goes on to supply 5 branches: the superficial circumflex iliac, superficial epigastric, superficial external
pudendal, deep external
pudendal, and descending genicular artery [5, 6].
Spinal segmental contribution to
pudendal and tibial inhibition of bladder overactivity in cats
Pudendal neuropathy is a rare entrapment neuropathy that is not well known in the diagnosis and differential diagnosis of pelvic pain.
The anal triangle contains the anal canal, ischioanal fossa, and the
pudendal canal.
The material can be applied directly to the
pudendal region to entirely cover the vulva, keeping bodily fluids in and external liquids out during menstruation.
