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- Maude Carmel, Michel Lebel, and Le Mai Tu.
- Department of Urology, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada. maude.carmel@usherbrooke.ca
- Int Urogynecol J. 2010 May 1;21(5):613-6.
AbstractRefractory 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.
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