Pudendal neuralgia after pelvic surgery using mesh: Case reports and laparoscopic pudendal nerve decompression

dc.contributor.authorSancak, Eyup Burak
dc.contributor.authorAvci, Egemen
dc.contributor.authorErdogru, Tibet
dc.date.accessioned2025-01-27T20:49:49Z
dc.date.available2025-01-27T20:49:49Z
dc.date.issued2016
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPersistent pain after vaginal mesh surgery is a rare and agonizing entity that has devastating consequences for the patient's quality of life. Many etiologies have been blamed including nerve injuries and entrapments. Pudendal neuralgia is a rare chronic neuropathic pain syndrome in the anatomical territory of the pudendal nerve. Various treatment options, such as medication management, physiotherapy, nerve blocks, decompression surgery and neuromodulation, have been used, but the most appropriate treatment for pudendal neuralgia has not yet been determined. In this article, we present two cases of postoperative pelvic pain thought to be secondary to injury or mechanical distortion of the pudendal nerve after rectocele repair using mesh and tension-free vaginal tape sling. In cases of failed conservative treatment and of mesh removal surgery, laparoscopic pudendal nerve decompression and omental flap wrapping operation can be a treatment option for pudendal neuralgia.
dc.identifier.doi10.1111/iju.13136
dc.identifier.endpage800
dc.identifier.issn0919-8172
dc.identifier.issn1442-2042
dc.identifier.issue9
dc.identifier.pmid27250921
dc.identifier.scopus2-s2.0-84984973501
dc.identifier.scopusqualityQ1
dc.identifier.startpage797
dc.identifier.urihttps://doi.org/10.1111/iju.13136
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25325
dc.identifier.volume23
dc.identifier.wosWOS:000383621400016
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley-Blackwell
dc.relation.ispartofInternational Journal of Urology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectlaparoscopic pudendal nerve decompression
dc.subjectomental flap wrapping
dc.subjectpudendal neuralgia
dc.subjectrectocele repair
dc.subjecttension-free vaginal tape
dc.titlePudendal neuralgia after pelvic surgery using mesh: Case reports and laparoscopic pudendal nerve decompression
dc.typeArticle

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