Please use this identifier to cite or link to this item: https://scholarhub.balamand.edu.lb/handle/uob/5263
Title: Pudendal nerve release for lower urinary tract symptoms in young males
Authors: Aoun, Fouad
Mjaess, Georges
Akl, Bernard
Nassar, Dany
Kallas Chemaly, Anthony
Haydar, Asad
Raad, Rami
Absil, Fabienne
Nemr, Elie
Bollens, Renaud
Affiliations: Faculty of Medicine 
Keywords: Lower urinary tract symptoms
Primary bladder neck obstruction
Pudendal nerve
Pudendal neuralgia
Young males
Issue Date: 2021
Part of: Lower Urinary Tract Symptoms
Volume: 13
Issue: 2
Start page: 286
End page: 290
Abstract: 
Objectives
The aim of this study was to assess the efficacy of laparoscopic transperitoneal pudendal decompression in the improvement of refractory lower urinary tract symptoms (LUTS) in young males presenting with clinical features of pudendal nerve entrapment with no known comorbidities that could explain their LUTS.

Methods
This is a prospective pilot study involving patients suffering from LUTS refractory to standard treatment and clinical features of pudendal nerve entrapment on physical examination. They underwent laparoscopic transperitoneal pudendal decompression. International Prostate Symptom Score (IPSS) and maximal flow (Qmax) on uroflowmetry were evaluated before and 3 months after the procedure.

Results
Five male patients aged 34 ± 4 years were recruited. The median IPSS differed significantly before and 3 months after the procedure (18 vs 8, P = .042); likewise, median Qmax differed significantly before and 3 months after the procedure (12 vs 18 mL/s, P = .042).

Conclusion
Pudendal nerve entrapment syndrome should be considered as a main differential diagnosis for refractory LUTS in young males with no other comorbidities. When clinical features of pudendal nerve entrapment are present, laparoscopic transperitoneal pudendal decompression relieves LUTS in these young males.
URI: https://scholarhub.balamand.edu.lb/handle/uob/5263
ISSN: 17575664
DOI: 10.1111/luts.12368
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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