Carmel Maude, Lebel Michel, Tu Le Mai
Department of Urology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Int Urogynecol J. 2010 May;21(5):613-6. doi: 10.1007/s00192-009-1054-z. Epub 2009 Dec 12.
Refractory chronic pelvi-perineal pain (RCPPP) is a challenging entity that has devastating consequences for patient's quality of life. Many etiologies have been proposed including pudendal neuralgia. Multiple treatment options are used but the reported results are sub-optimal and temporary. In this article, we present the technique of pudendal nerve neuromodulation with neurophysiology guidance as a treatment option for RCPPP. This technique is a two-step procedure that includes electrode implantation under neurophysiology guidance followed by the implantation of a permanent generator after a successful trial period. We report the cases of three women who underwent this procedure as a last-resort treatment option. After 2 years of follow-up, their symptoms are still significantly improved. No major complication occurred.
难治性慢性盆腔 - 会阴疼痛（RCPPP）是一种具有挑战性的病症，对患者的生活质量有着毁灭性的影响。已经提出了许多病因，包括阴部神经痛。虽然使用了多种治疗方法，但报告的结果并不理想且只是暂时的。在本文中，我们介绍了在神经生理学引导下进行阴部神经调节的技术，作为RCPPP的一种治疗选择。该技术是一个两步程序，包括在神经生理学引导下植入电极，然后在成功的试验期后植入永久发生器。我们报告了三名女性患者的病例，她们将此程序作为最后的治疗选择。经过2年的随访，她们的症状仍有显著改善。未发生重大并发症。
