European Physicians

Providers listed on this website are not endorsed by the Health Organization for Pudendal Education.  This list is offered as a public service for informational purposes only.

There are a limited number of physicians around the world who treat pudendal neuralgia and pudendal nerve entrapment.  Click on the right country to find the nearest doctor. 


Austria

Belgium

France

Switzerland

Spain

Turkey

United Kingdom


Austria

Dr. Oskar Aszmann has developed surgery to treat pudendal nerve entrapment of the distal pudendal nerve (dorsal nerve of penis or dorsal nerve of clitoris).  This is a completely different surgery than the approaches that treat PNE at the ischial spine and alcock's canal.
Univ.-Prof. Dr. Oskar C. Aszmann
Director of the Center for Extremity Reconstruction and Rehabilitation
Division of Plastic and Reconstructive Surgery
Medical University of Vienna, AUSTRIA
Phone:  0043 1 40400-5616
Fax:  0043 1 40422-4810
The best way to contact Dr. Aszmann is via e-mail.
E-mail:  oskar.aszmann@meduniwien.ac.at


Belgium

Dr. Jacques Beco is an obstetrician and gynecologist who performs pudendal nerve decompression surgery using the perineal approach under endoscopic control ("pudendoscopy"). After the opening of the Alcock's canal and mobilization of the perineal branch, Dr. Beco opens the clamp between the sacro-spinal and sacro-tuberous ligaments and cuts the sacro-spinal ligament with the wire loop of a rectoscope that uses high frequency electrical current.  Transposition of the pudendal nerve or of its branches is the last step of the procedure.  To see the video of the procedure click on : www.youtube.com/watch?v=cXrRFo7ffYE

Dr. Beco’s contact information:

HC Clinique Sainte-Elisabeth 
Rue du Naimeux 
B-4802, Heusy 
Belgium

Office address:

9a Avenue Hanlet
B-4802 Heusy
Belgium
Phone:  00 32 / 87 23 01 69 
Fax:  00 32 / 87 23 04 69 
E-mail:  Jacques.beco@skynet.be


Dr. Jean Pierre Van Buyten is a leading expert in neuromodulation for patients with pudendal neuralgia. 
Dr Jean Pierre Van Buyten
PijnCentrum
AZ Maria Middelares
Hospitaalstraat 17
Sint Niklaas
9100 Belgium

Tel:  00 32 3 760 2318 00 32 3 760 2318
Website:  www.nomorepain.be


France

Prof. G. Amarenco is a neurologist who administers nerve blocks for PN patients.

Service de Neuro-Urologie et d'Explorations Périnéales
Hôpital Tenon
4, Rue de la Chine
75020 PARIS
France
Phone: 01 56 01 76 12
E-mail:  gerard.amarenco@tnn.aphp.fr


Dr. Eric Bautrant is a pelvic surgeon in France who performs the trans-ischio-rectal fossa approach to pudendal nerve decompression surgery. This approach requires a small vaginal incision in women and a small incision between the anal area and scrotum for men. Usually the sacrospinous ligament is partially severed to relieve the compressed nerve but the sacrotuberous ligament is spared. To read more about his procedure click on this link:  www.perineology.com/files/pne_bautrant.pdf 

It is best to contact him through e-mail. 

Dr. Eric Bautrant

L'AVANCEE  
25, rue Victor Hugo  
13100 Aix en Provence
France
Phone number: 04 42 37 38 07  
Fax : 011 33 442373801
E-mail:  ebautrant@l-avancee.fr
E-mail:  chir.gyneco@l-avancee.fr


Professor Roger Robert leads a team of physicians from Nantes, France that diagnose and treat pudendal neuralgia. Prof. Robert developed the trans-gluteal technique for surgical release of the nerve. This team of physicians includes Dr. Labat, a neurologist that performs EMG, pudendal nerve motor latency testing and other tests to confirm the presence of PNE. Dr. Riant is an anesthesiologist that performs nerve blocks and assists in the diagnosis effort. Dr. Guerineau is a Kinestherapist and physical therapist that through his techniques, reduces muscle spasm thereby decreasing a patient's pain level.  Contact is available via mail, please include your name, date of birth, address, phone number, a history of your symptoms, treatments that you have tried, and an e-mail address, if available.

Dr Riant. Pain Specialist and Anesthesist - Nerve Blocks
Centre Catherine De Sienne,
Unite de d’evaluation et Traitement de la Douleur,
2, Rue Eric Tabarly
44200 Nantes
France

Prof Roger Robert. Neurosurgeon - Multidisciplinary Meeting
Clinique De Neurotraumatologie
CHU Nantes
Hotel Dieu
1, Place Alexis Ricordeau
44093 Nantes
Cedex 1
France
E-mail:  dr.robert@ncn.fr Tel:  02 28 25 59 20
Fax:  02 28 25 58 67

Dr J.J. Labat. Neurologist & Urologist - PNMLT
Cabinet Neurologie
25, Rue Mauvoisins
44100 Nantes
France


Dr. Eric de Bisschop is a vascular physician and electrophysiologist who pracitices in Aubagne close to Marseille, France. He performs EMG’s and does EMG guided pudendal nerve and ilioinguinal nerve blocks.  Since November of 2009 Dr. de Bisschop has performed PNE decompression surgery using the perineal approach with a balloon probe, sparing the ligament. 

Dr. de Bisschop works with his wife, Dr. Rajeshree Nundall who uses angiology to assess the pudendal blood vessels. If there is a pudendal nerve entrapment the blood vessels will also be entrapped since they travel alongside each other. Angiology confirms EMG testing and gives information about tissues including scar tissue after surgery. This is a link to Dr. Nundall’s scientific paper:
www.perineology.com/files/doppler-nundlal.pdf

This is Dr. de Bisschop’s contact information – the best way to contact him is through e-mail:

55, avenue des Goums 
13400 Aubagne, 
France
Phone:  00 33 442 163 395 
E-mail:  rajeshree@free.fr


Switzerland

Dr. Marc Possover
www.possover.de/
www.mediluxhealthcare.us/hirslanden_neuropelveology.html

Dr. Marc Possover has published numerous peer-reviewed articles on pudendal neurlagia.  He performs pudendal nerve decompression surgery using the laparscopic approach. He also performs the LION procedure which is reserved for  neurogenic problems in which an anatomical lesion cannot be treated. With the implantation of the lead tangentialy to the sacral nerve roots S3 S2-> S4/5, it covers all pudendal afferent fibers passing through the sacral nerve roots.
 


Dr. Bruno Roche leads a team of physicians from Geneva, Switzerland. Dr. Roche is a surgeon specializing in coloproctology and perineal surgery. He was trained by Professor Robert in the trans-gluteal technique of surgical decompression. He works closely with Dr. Alex Cahana, an anesthetist and chief of the pain clinic. Dr. Cahana specializes in pain evaluation and infiltrations. Dr. Joan Robert-Yap performs pudendal nerve motor latency testing and handles any neuromodulation treatment that may be required.

Unité de Proctology
Hopitaux Universitaire de Geneve 
1211 Geneve 14 
Phone:  +41 22 372 79 34 
Fax:  +41 22 372 79 09
E-mail:  Martine.Martelletta@hcuge.ch


Dr Jean-Pierre Spinosa practices in Swizterland and uses Prof. Shafik’s technique for PNE decompression.

FMH gynécologie et accouchements 
Médecin Chef adjoint Hôpital de Morges 
Anc. Médecin associé, Unité de périneologie, Hôp. Univ. Genève 
Rue des Terreaux 2 
1003 - Lausanne - Suisse 
00 41 21 3290980
E-mail:  spinosa@deckpoint.ch 


Spain

A multidisciplinary Spanish team, located in Madrid, capital of Spain is helping  patients suffering pudendal nerve entrapment and myofascial pelvic pain syndrome. 
Dr. Fernando Itza is a pain medicine expert and coordinator of this team. Dr. Itza performs conservative treatments for pudendal neuralgia including: nerve blocks, perineural blocks, trigger point injections, Botox injections and neurostimulation. He  provides medication management for neuropathic pain.
At this moment, they are sending possible surgical procedures to Dr. Bautrant in Aix en Provence (France).
Dr. Gomez ,urologist, provides the first diagnosis and offers the Botox injections and intraprostatic injections when needed (according to Dr. Guercini  technique). The surgery will be done in Spain as soon as possible  according to Dr. Bautrant technique.
Dr. Zarza, neurophysiologist, performs neurophysiological test including:   pudendal nerve motor latency, bulbocavernous reflex, evoked potentials, sympathetic-cutaneous response and electromyography of the external anal sphincter, the levator ani muscle or others muscles. In addition, he is able to carry out Botox injections and monitoring neuromuscular blockade.

Their PT´s team, led by Lydia Serra, is able to carry out  pre- operative care and post-operative care for pudendal entrapment.  They are specialized in treating myofascial pelvic pain syndrome, almost always associated with pudendal neuralgia. 
  
www.urologia.tv/icua/contact/contact.shtml
Instituto de cirugía urológica avanzada (ICUA)
Paseo de la Castellana, 23. Bajo B
28046 Madrid
España-Spain
Tel: + 91 4 35 28 44
Fax: + 91 308 02 99  
E-mail:  fitza@arrakis.es (Dr.Itza)


Turkey

Dr. Tibet Erdogru
Dr. Erdogru performs laparoscopic and robotic pudendal nerve decompression and transposition surgeries in males and females.  Dr. Erdogru and his TEAM perform multidisciplinary approaches with different perspectives in the areas of neuro-urology, pain management by a pain specialist - anesthesiologist, female sexual dysfunction assessment by a gynecologist, and advanced laparoscopic and robotic pelvic surgeries.

In his own practice, he performs a detailed history and examination, laboratory analysis, EMG, and pelvic MRI focused on the pudendal region.  In males he performs microbiology and biochemical analysis of prostate fluid and transrectal ultrasonograpy if needed.
Phone: +90 (216) 570 66 66
Fax: +90 (216) 570 66 21
E-mail: dr@tibeterdogru.com
Website: www.pudendal.eu
 


 United Kingdom

Dr. Andrew Baranowski is a urogynecologist that performs nerve blocks. He generally is in the practice of diagnosing and treating uro-genital pain related issues.

National Hospital for Neurology and Neurosurgery
Queen Square, London WC1N 3BG
Phone: 020 7837 3611


Dr. Thomas Carlstedt

This link provides information about this doctor who is performing Pudendal Nerve Surgery in the UK.

Website:  www.londonnervecentre.co.uk/thomas_carlstedt.php


Dr. Winston F. de Mello, BSc MBBS FRCA FIMCRCSEd FFPMRCA DRCOG DipPain. (GMC 2424789)
is a consultant in Anaesthesia & Pain Medicine at the Pelvic Pain Clinic at the University Hospital in Manchester. He studied with Dr. Labat and follows the protocols of the Nantes Criteria when diagnosing and treating pudendal neuralgia, including administering nerve blocks as part of that treatment.
Address:
Pain Clinic
University Hospital of South Manchester
Manchester M23 9LT
Tel:  0161 2912725
E-mail:  wdemello@uhsm.nhs.uk


Dr. Michael Durtnall:  Doctor of Chiropractic, Master of Science, Fellow Royal College of Chiropractors (Orthopaedic & Rehabilitation) Fellow of the Royal Society of Medicine Registered Chiropractor and Specialist in Performing Arts Medicine UCL Chairman Sayer Clinics:  London Kensington W8, Cavendish Square W1 and Moorgate City of London EC2. Sayer Coccyx and Pelvic Pain Team perform treatments listed in our pelvic pain link:  www.sayerclinics.com/conditions-treated/pelvic-coccyx-pain/
Treatments:  Spinal and Pelvic Manipulative Therapy
Pelvic Floor Trigger Point and Pudendal Nerve Active Release Techniques
Digital X-ray Posture and Gait Analysis
Manual Pelvic Physical Therapy and Postural Rehabilitation
Low-Intensity Laser Therapy
Sayer Coccyx & Pelvic Pain Clinics:  London
Manipulation & Physical Therapy
Eight Sunningdale Gardens
KENSINGTON
London, W8 6PX
Tel:  020 7937 8978
E-mail:  mail@sayerclinics.com
Website:  www.sayerclinics.com


Dr Gareth Greenslade is a consultant in pain medicine and part of 'The Bristol Team' whose interest in pudendal neuralgia took them to Nantes, France in 2009 to study with Professor Roger Robert.

He administers guided nerve blocks to PN patients and can refer for decompression surgery if required.  His team offers a multidisciplinary approach to pelvic pain which includes cognitive behavioural therapy, pain management techniques, and medication.  Sacral nerve stimulation and spinal cord stimulation is also available for suitable patients.
He is based at: Pain Clinic, The MacMillan Centre, North Bristol NHS Trust, Frenchay Hospital, Frenchay, Bristol, BS16 1LE
www.nbt.nhs.uk/find_us/frenchay_hospital.aspx

AND

Nuffield Health, St. Mary's Hospital, Upper Byron Place, Clifton, Bristol BS8 1JU
Secretary:  Catherine Morris
Tel:  0117 441 2933

www.nuffieldhealth.com/consultants/greenslade-gareth

 

Dr. Greenslade is the Specialty Director for Pain Services, North Bristol NHS Trust.


Mr. Christopher Wong, MB BCH PHD FRCS is a consultant surgeon in Bristol and part of 'The Bristol Team' with Dr. Gareth Greenslade, consultant pain specialist, and Mr N. Patel, consultant neurosurgeon. Their interest in pudendal neuralgia took them to Nantes, France in 2009, to study with Professor R. Robert.
Dr Wong performs pudendal decompression surgery using the TG approach. He practices at:
Spire Cardiff Hospital and Spire Bristol Hospital.
Contact details:
Tel: (to make a private appointment) 01179732562
Private secretary tel: 01173706360
E-mail: christopher.wong@nbt.nhs.uk

AND

North Bristol NHS Trust.
Secretary: Angela Turner, telephone no. 0117 3406505 
www.nbt.nhs.uk/our_services/a_-_z_of_consultants/w/mr_christopher_wong.aspx
Website: www.keyhole-surgery.org/



The HOPE organization does not endorse any of the providers listed on this website. The list is offered as a public service
.