Ultrasound-Guided Pudendal Nerve Dextrose Hydrodissection for Urinary Incontinence: A Clinical Review and Case Reports.

Pain medicine case reports Pub Date : 2025-02-01
Helen Gharaei, Teinny Suryadi, Negin Gholampoor
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Abstract

Background: Pudendal nerve (PN) entrapment can result from both mechanical and nonmechanical causes. Mechanically, the nerve may be compressed, transected, or stretched, often during surgical procedures. Nonmechanical causes may include chronic conditions, such as diabetes mellitus.

Case reports: These case series include a 66-year-old man with a 3-year history of benign prostatic hyperplasia, who complained of urinary incontinence after surgery, and a 67-year-old woman with a 10-year history of well-controlled type 2 diabetes and diabetic urogenital autonomic neuropathy, whose urinary incontinence responded to ultrasound-guided dextrose hydrodissection of the PN.

Conclusions: Ultrasound-guided PN dextrose hydrodissection can be a straightforward and safe treatment option for urinary incontinence.

超声引导下阴部神经葡萄糖水解剖治疗尿失禁的临床回顾及病例报告。
背景:阴部神经(PN)卡压可由机械性和非机械性原因引起。通常在外科手术过程中,神经可以被机械地压缩、横切或拉伸。非机械原因可能包括慢性疾病,如糖尿病。病例报告:这些病例系列包括一名66岁的男性,有3年的良性前列腺增生病史,术后主诉尿失禁;一名67岁的女性,有10年控制良好的2型糖尿病和糖尿病性泌尿生殖系统自主神经病变病史,其尿失禁对超声引导下的葡糖水解剖PN有反应。结论:超声引导下PN葡萄糖水解剖是一种简单、安全的治疗尿失禁的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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