Pelvic Pain Syndromes / Sexual Dysfunction
Pudendal Nerve Entrapment Syndrome is characterized by neuropatic pain in pudendal nerve territory. This pain can be associated or not with mictional, defecatory and sexual disorders. Nerve surgical descompression is a safe and secure alternative in cases with failure of conservative management. The objective of this video is to describe procedure of robotic pudendal neurolysis step by step.
In this video, robotic assisted surgical technique is described step by step. Left pudendal neurolysis was performed with intraoperative neurophysiological monitoring in a 60 years old patient diagnosed with pudendal nerve entrapment syndrome.
Procedure was completed satisfactory without complications. Hospital postoperative stay was 24 hours. Pain relief was observed with a 50% of pain reduction measured with Visual Analogue Scale 2 weeks after surgery, kept stable 10 weeks after neurolysis.
Robotic pudendal neurolysis is a feasible and secure approach, which allows better visualization and accurancy in dissection of PN. Intraoperative neurophysiological monitoring is an useful tool which improve location of PN and detection of intraoperative changes after pudendal nerve descompression.