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72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

06.06. - 09.06.2021

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Quality of life QoL after decompression of the pudendal nerve – is surgery a viable therapeutical option?

Lebensqualität nach Dekompression des Nervus pudendus – macht die chirurgische Behandlung Sinn?

Meeting Abstract

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  • presenting/speaker Christian Heinen - Evangelisches Krankenhaus Campus Carl-von-Ossietzky-Universität Oldenburg, Universitätsklinik für Neurochirurgie, Oldenburg, Deutschland
  • Patrick Dömer - Evangelisches Krankenhaus Campus Carl-von-Ossietzky-Universität Oldenburg, Universitätsklinik für Neurochirurgie, Oldenburg, Deutschland
  • Thomas Schmidt - Evangelisches Krankenhaus Campus Carl-von-Ossietzky-Universität Oldenburg, Universitätsklinik für Neurochirurgie, Oldenburg, Deutschland
  • Johannes Woitzik - Evangelisches Krankenhaus Campus Carl-von-Ossietzky-Universität Oldenburg, Universitätsklinik für Neurochirurgie, Oldenburg, Deutschland
  • Thomas Kretschmer - Klinikum Klagenfurt am Wörthersee, Department of Neurosurgery & Neurorestauration, Klagenfurt, Österreich
  • Jennet Rahmanowa - Evangelisches Krankenhaus Campus Carl-von-Ossietzky-Universität Oldenburg, Universitätsklinik für Neurochirurgie, Oldenburg, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie. sine loco [digital], 06.-09.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocV203

doi: 10.3205/21dgnc198, urn:nbn:de:0183-21dgnc1983

Veröffentlicht: 4. Juni 2021

© 2021 Heinen et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: Pudendal neuralgia can be caused by a rare compression neuropathy. Affected patients suffer from severe impairment of their social and personal life. Surgical decompression of the nerve is a treatment option. We evaluated outcomes of our operated patients in terms of patient’s satisfaction.

Methods: From 2015-2020 n=29 patients were operated for pudendal neuropathy, n=25 (n= 31 procedures) could be included in this retrospective study. Patient data and patient’s satisfaction were assessed using an adapted questionnaire.

Results: Mean age was 54 years, n=15 were female, n= 10 male. Pain was present in all patients, n= 5 presented with sensory, n=6 with motor deficits. All patients received preoperative nerve block. In n= 29 surgeries, we performed dorsal transgluteal decompression (n=13 unilateral/ n=12 bilateral) and in n=2 transperineal ventral. The identified compression site was in n=15 a hypertrophic sacrotuberal ligament. Additionally, n n=16 cases we found scarring and fibrous tissue, varicosis, and a sacrospinal ligament compression. No perioperative complications occurred. Overall postoperative pain intensity dropped significantly from 7.96 on Visual Analogue Scale VAS to 5.96 (p<0.0002). Pain medication could be reduced in n=10, n=11 improved their free time life activity and n=17 patients overall well-being.

Conclusion: In our experience, surgical pudendal nerve decompression led to a significant improvement if patient’s life quality. Careful patient selection and meticulous workup are mandatory for a successful treatment. Further studies with larger patient groups and longer follow-up are required.