| Home > Articles > Diagnostic and therapeutic algorithm for pudendal nerve entrapment syndrome > MARC |
000118718 001__ 118718 000118718 005__ 20220930131845.0 000118718 0247_ $$2doi$$a10.1016/j.medcle.2021.02.002 000118718 0248_ $$2sideral$$a125982 000118718 037__ $$aART-2021-125982 000118718 041__ $$aeng 000118718 100__ $$0(orcid)0000-0003-4071-1467$$aLuesma, María José$$uUniversidad de Zaragoza 000118718 245__ $$aDiagnostic and therapeutic algorithm for pudendal nerve entrapment syndrome 000118718 260__ $$c2021 000118718 5060_ $$aAccess copy available to the general public$$fUnrestricted 000118718 5203_ $$aPudendal nerve entrapment syndrome is widely unknown and often misdiagnosed or confused with other pelvic floor diseases. The aim is to develop a diagnostic and therapeutic algorithm based on a review of the existing literature. For its diagnosis, an anamnesis will be carried out in search of possible aetiologies, surgical history, and history of pain, assessing location and irradiation, intensity on the visual analogue scale, timing, triggering factors and rule out alarm signs. A physical examination will be performed, looking for trigger points or areas of fibrosis with transvaginal/transrectal palpation of the terminal branches of the nerve. With a doubtful diagnosis, an anaesthetic block of the pudendal nerve can be performed. Once the diagnosis is confirmed, the treatment will begin staggered with lifestyle changes, drug therapy and physiotherapy. In view of the failure of these measures, invasive therapies such as botulinum toxin injection, pulsed radiofrequency and decompression surgery or spinal cord stimulation will be used. 000118718 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000118718 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/submittedVersion 000118718 700__ $$aGalé, Inés 000118718 700__ $$aFernando, José 000118718 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana 000118718 773__ $$g157, 2 (2021), 71-78$$pMed. clín. (Engl. ed.)$$tMedicina Clínica (English Edition)$$x2387-0206 000118718 8564_ $$s1917021$$uhttps://zaguan.unizar.es/record/118718/files/texto_completo.pdf$$yPreprint 000118718 8564_ $$s1973592$$uhttps://zaguan.unizar.es/record/118718/files/texto_completo.jpg?subformat=icon$$xicon$$yPreprint 000118718 909CO $$ooai:zaguan.unizar.es:118718$$particulos$$pdriver 000118718 951__ $$a2022-09-30-12:13:05 000118718 980__ $$aARTICLE
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