Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances

Chronic pelvic pain conditions such as pudendal neuralgia pose significant treatment difficulty due to their elusive etiology and diverse symptomatology. Initially approved as a third or fourth-line treatment of non-obstructive urinary retention and fecal incontinence, neuromodulation has also prove...

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Main Authors: Natalija Kovacevic, Larry Sirls, Jason Gilleran, Kenneth Peters
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Urology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fruro.2023.1323444/full
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author Natalija Kovacevic
Larry Sirls
Jason Gilleran
Kenneth Peters
author_facet Natalija Kovacevic
Larry Sirls
Jason Gilleran
Kenneth Peters
author_sort Natalija Kovacevic
collection DOAJ
description Chronic pelvic pain conditions such as pudendal neuralgia pose significant treatment difficulty due to their elusive etiology and diverse symptomatology. Initially approved as a third or fourth-line treatment of non-obstructive urinary retention and fecal incontinence, neuromodulation has also proven effective for pelvic pain associated with urinary dysfunction. Recently, sacral and pudendal neuromodulation has demonstrated efficacy in managing a spectrum of chronic pelvic conditions including refractory pudendal neuralgia. The individualized approach of peripheral neuromodulation has opened new avenues for tailored medical interventions, extending its application to conditions such as pudendal neuralgia, post sling pain, and vulvodynia. New technologies leading to miniaturized neuromodulation devices such as Freedom® stimulators (Curonix), allows us to implant leads and modulate nerves at precise pain targets. Further experience and research is needed to assess the impact of targeted neuromodulation on managing complex pelvic pain conditions.
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spelling doaj.art-99df5dba8998464d985bfdc479488e142023-12-18T07:02:58ZengFrontiers Media S.A.Frontiers in Urology2673-98282023-12-01310.3389/fruro.2023.13234441323444Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advancesNatalija KovacevicLarry SirlsJason GilleranKenneth PetersChronic pelvic pain conditions such as pudendal neuralgia pose significant treatment difficulty due to their elusive etiology and diverse symptomatology. Initially approved as a third or fourth-line treatment of non-obstructive urinary retention and fecal incontinence, neuromodulation has also proven effective for pelvic pain associated with urinary dysfunction. Recently, sacral and pudendal neuromodulation has demonstrated efficacy in managing a spectrum of chronic pelvic conditions including refractory pudendal neuralgia. The individualized approach of peripheral neuromodulation has opened new avenues for tailored medical interventions, extending its application to conditions such as pudendal neuralgia, post sling pain, and vulvodynia. New technologies leading to miniaturized neuromodulation devices such as Freedom® stimulators (Curonix), allows us to implant leads and modulate nerves at precise pain targets. Further experience and research is needed to assess the impact of targeted neuromodulation on managing complex pelvic pain conditions.https://www.frontiersin.org/articles/10.3389/fruro.2023.1323444/fullpudendal neuralgiachronic pelvic painperipheral nerve neuromodulationsacral neuromodulationpudendal neuromodulation
spellingShingle Natalija Kovacevic
Larry Sirls
Jason Gilleran
Kenneth Peters
Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
Frontiers in Urology
pudendal neuralgia
chronic pelvic pain
peripheral nerve neuromodulation
sacral neuromodulation
pudendal neuromodulation
title Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
title_full Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
title_fullStr Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
title_full_unstemmed Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
title_short Peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders: current advances
title_sort peripheral nerve stimulation for pudendal neuralgia and other pelvic pain disorders current advances
topic pudendal neuralgia
chronic pelvic pain
peripheral nerve neuromodulation
sacral neuromodulation
pudendal neuromodulation
url https://www.frontiersin.org/articles/10.3389/fruro.2023.1323444/full
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AT jasongilleran peripheralnervestimulationforpudendalneuralgiaandotherpelvicpaindisorderscurrentadvances
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