000119649 001__ 119649
000119649 005__ 20230519145451.0
000119649 0247_ $$2doi$$a10.1016/j.medcli.2021.02.012
000119649 0248_ $$2sideral$$a125872
000119649 037__ $$aART-2021-125872
000119649 041__ $$aspa
000119649 100__ $$0(orcid)0000-0003-4071-1467$$aLuesma M.J.$$uUniversidad de Zaragoza
000119649 245__ $$aAlgoritmo diagnóstico y terapéutico del síndrome de atrapamiento del nervio pudendo
000119649 260__ $$c2021
000119649 5060_ $$aAccess copy available to the general public$$fUnrestricted
000119649 5203_ $$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. © 2021 Elsevier España, S.L.U.
000119649 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000119649 590__ $$a3.2$$b2021
000119649 591__ $$aMEDICINE, GENERAL & INTERNAL$$b75 / 172 = 0.436$$c2021$$dQ2$$eT2
000119649 592__ $$a0.325$$b2021
000119649 593__ $$aMedicine (miscellaneous)$$c2021$$dQ3
000119649 594__ $$a1.8$$b2021
000119649 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000119649 700__ $$aGalé I.
000119649 700__ $$aFernando J.$$uUniversidad de Zaragoza
000119649 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000119649 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000119649 773__ $$g157, 2 (2021), 71-78$$pMed. clín.$$tMedicina clinica$$x0025-7753
000119649 8564_ $$s1930489$$uhttps://zaguan.unizar.es/record/119649/files/texto_completo.pdf$$yPostprint
000119649 8564_ $$s2277434$$uhttps://zaguan.unizar.es/record/119649/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000119649 909CO $$ooai:zaguan.unizar.es:119649$$particulos$$pdriver
000119649 951__ $$a2023-05-18-14:44:08
000119649 980__ $$aARTICLE