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