Injury during childbirth, which can be related to tears, failure to heal from episiotomy wounds, injury to pelvic floor muscles through forceps delivery or pudendal
nerve injuries, may be identified at the time of delivery and where appropriate repaired, but some of these may be missed.
This subsequent coverage is provided by a variety of flaps such as the vertical rectus abdominus myocutaneous flap (VRAM flap), gracilis muscle, or myocutaneous flap, the posterior thigh flap and pudendal
I also saw a pelvic physiotherapist, who palpated sharp mesh remnants in the muscles, worked on releasing tension and releasing the pudendal
nerve, which was triggering burning and irritation.
1,4,8,9 As mentioned in Guyton text book of medical physiology the higher centers have inhibitory control over external urethral sphincter by pudendal
A number of disease processes--such as recurrent urinary tract infection, urethral diverticulum, endometriosis, and pudendal
neuropathy--can mimic the symptoms of IC/BPS.
Inadequate embolisation of a PA due to extrauterine feeding arteries, such as the internal pudendal
artery, ovarian artery, inferior epigastric artery, or contralateral uterine artery can lead to embolisation failure.
9) Other therapies include bilateral paracervical block and pudendal
block, which provide rapid onset analgesia (2-5 min); although useful, they require training and are risky in cases of placental insufficiency or prematurity.
Two months later, the patient reported chronic severe pelvic pain and was found to have pudendal
During the procedure, extravasation from the right pudendal
artery was observed [Figure 1].
One of the limitations of our study is that we did not conduct research on pudendal
As a result, in case of young adult patients with significantly displaced or old fracture, a larger force and prolonged traction are required to reduce the fracture, leading to stretch injury of the foot, pudendal
nerve trauma, perineal ulcers, peroneal nerve palsy, and even compartment syndrome.
Transvaginal sacropinous fixation is another option, but due to close proximity of sciatic nerve and pudendal
vessels and nerve to sacroscopious ligament, this surgery may lead to significant buttock and leg pain and haemorrhage.