علاج متلازمة ألم الحوض المزمن مع ألم العجان العصبي في منطقة توزيع العصب الفرجي (الألم العصبي الفرجي)

References

• Primary perineal pain syndrome should be distinguished from pudendal neuralgia, which is a specific disease associated with perineal pain that is caused by nerve damage.
• In the literature, pudendal neuralgia is the most often mentioned form of nerve damage.
• Decompression of an entrapped or injured nerve is a routine approach and probably should apply to the pudendal nerve as it applies to all other nerves.
• One prospective RCT (transgluteal approach) suggests that, if the patient has had the pain for less than six years, 66% of patients will see some improvement with surgery (vs. 40% if the pain has been present for more than six years).
• There are several approaches, and selection is largely dependent on the underlying pathology.