Health Organization for Pudendal Education

If anyone who had surgery from Dr. Erdogru reads this we invite you to comment on your surgery results.

http://www.ncbi.nlm.nih.gov/pubmed/24149853

Surg Endosc. 2013 Oct 23.
Laparoscopic pudendal nerve decompression and transposition combined with omental flap protection of the nerve (Istanbul technique): technical description and feasibility analysis.
Erdogru T, Avci E, Akand M.
Source
Department of Urology, Minimally Invasive and Robotic Surgery Center, Memorial Istanbul Atasehir Hospital, Vedat Gunyol Street, Nr:30-31, Istanbul, Turkey, dr@tibeterdogru.com.
Abstract
BACKGROUND:
We aimed in this study to investigate the efficacy of laparoscopic pudendal nerve decompression and transposition (LaPNDT) in the treatment of chronic pelvic pain due to pudendal neuralgia. Pudendal nerve entrapment (PNE) between the sacrospinous and sacrotuberous ligaments is the most frequent etiology. We describe the technical details, feasibility, and advantages of a laparoscopic approach in patients with PNE.
METHODS:
Consecutive patients (n = 27) with a diagnosis of PNE underwent LaPNDT with omental flap protection in an effort to prevent re-fibrosis around the nerve in the long term. The degree of pain and pain impact were evaluated pre- and postoperatively using the visual analog pain scale (VAS) and the Impact of Symptoms and Quality of Life.
RESULTS:
The mean (±standard deviation [SD]) follow-up of the 27 patients was 6.8 ± 4.2 months; 16 of the 27 were followed-up for more than 6 months. The mean (SD) operation time was 199.4 ± 36.1 (155-300) min, and the mean estimated blood loss was 39.7 ml. All patients were ambulated on the first postoperative day, and the mean (SD) hospitalization time was 2.1 ± 1.0 (1-6) days. The mean VAS scores of 27, 23, 16, and 6 patients were 1.5, 1.4, 1.6, and 2.0, postoperatively, at the first, third, sixth, and twelfth months (p < 0.0001). A more than reduction in VAS score (>80 %) was achieved in 13 of the 16 patients (81.2 %) who were followed-up for more than 6 months.
CONCLUSIONS:
LaPNDT seems a feasible surgical modality for cautiously selected patients with PNE. In addition, using an omental flap for protection of the nerve is one of the most important technical advantages of laparoscopy. As a minimally invasive surgery, the laparoscopic approach can be technically feasible, with its promising preliminary results in the treatment of PNE. With further analysis, in the future it may open new frontiers for pudendal nerve neuromodulation as a new treatment modality in some intractable functional problems of the genitourinary tract.

Violet,
Question, I'm not in the medical field, but what does it mean if anything, when this type of info is published? What positive outcomes are there? Do major hospitals/physican groups read this and take note? Just curious.

Thanks,
Debbie

deBBieW wrote:Violet,
Question, I'm not in the medical field, but what does it mean if anything, when this type of info is published? What positive outcomes are there? Do major hospitals/physican groups read this and take note? Just curious.

Thanks,
Debbie

It's peer reviewed literature but I suspect that just because it's peer reviewed doesn't mean docs don't ever skew their results. Physicians should keep up with new developments in their field of practice but I'm sure it's not possible to read everything and some do a better job at keeping up than others. People will be more likely to stand up and take notice if the research can be reproduced and a second or third physician or team of docs publishes with the same results.

Violet

A few ladies from our Facebook hope site went to turkey last year. Their results are rather vague. None if them talk much about it, but are still experiencing pain.
C

Guess I figured out my answer. Wondered if anyone tried this. Doesn't sound too promising anymore. Ughhhh