Articles

 

Pudendal Neuropathy, One of the Main "Defects" in Perineology

This publication was written by Jacques Beco, MD.
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Dr. Beco looks at the "defects" in perineology along with the clinical signs of pudendal neuralgia and the outcomes from surgery. He states.
"Pudendal neuropathy is a frequent « defect » in perineology. It is essential to check for it by
using our 3 clinical signs. For the perineologist, it seems aberrant to be interested by the
pudendal nerve only for pain. Many cases of urinary or anal incontinences (and maybe of
impotence and other symptoms) can be healed by a surgical decompression of the nerve. This
intervention, done by the perineal route, is part of the 7 basic surgical procedures permitting
to correct the main perineal "defects" and their associated symptoms"

 

Transperineal pudendal nerve decompression (PND) with opening of the fascia
linking the sacro-spinal and the sacro-tuberous ligament
Feasibility study and first results in perineology

Jacques Beco M.D.
Liège University, CHU Sart-Tilman, Department of Gynaecology, Belgium
Groupement Européen de Périnéologie

"This study confirms the feasibility of a complete transperineal PND
through a small para-anal incision
We didn’t found a real clamp between the two ligaments but rather a
strong fascia linking them
This procedure can treat the 3 main symptoms of the PCS without
significant side effects. It represents one of the 7 basic “defect specific”
procedures used in Perineology
A randomized controlled trial should be done to prove the interest of
opening the fascia between the two ligaments in addition to the classical
opening of the Alcock’s canal"

 

The EMG - Which One and Why

Eric DeBisschop - Eric Bautrant

This is a publication looks at the differences between the some of the more commonly used nerve testing. They look at "staged" sacral reflexes vs the Pudendal Nerve Motor Latency test. Many factors can interfere with nerve testing results. Examine with these doctors the pros and cons of using these tests.