{"title":"Ultrasound-Guided Pudendal Nerve Dextrose Hydrodissection for Urinary Incontinence: A Clinical Review and Case Reports.","authors":"Helen Gharaei, Teinny Suryadi, Negin Gholampoor","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case reports: </strong>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.</p><p><strong>Conclusions: </strong>Ultrasound-guided PN dextrose hydrodissection can be a straightforward and safe treatment option for urinary incontinence.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"41-46"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.