6533b7d0fe1ef96bd125aed6

RESEARCH PRODUCT

Pudendal nerve branch injury during radical perineal prostatectomy

Joachim W. ThüroffSebastian W. MelchiorSascha PahernikChristian HampelRolf GillitzerChristoph Wiesner

subject

MaleProstatectomymedicine.medical_specialtybusiness.industryIatrogenic injuryUrologyPudendal nervemedicine.medical_treatmentLumbosacral PlexusGenitalia MalePerineumSurgical InjurySurgeryLesionConservative treatmentAnesthesiaHumansMedicineFavorable outcomemedicine.symptomIntraoperative ComplicationsbusinessRadical perineal prostatectomyAged

description

We report the first case of direct surgical injury to a pudendal nerve branch during radical perineal prostatectomy. A 65-year-old patient presented with typical symptoms of a pudendal nerve lesion after radical perineal prostatectomy. As the patient did not respond to conservative treatment, surgical exploration and exeresis of the injured sensory branch of the pudendal nerve was necessary, resulting in pain improvement. Urologic surgeons should be aware of the typical symptoms after iatrogenic injury to the pudendal nerve or its branches. Early diagnosis and neurosurgical intervention are important to obtain a more favorable outcome.

yearjournalcountryeditionlanguage
2005-05-09Urology
https://doi.org/10.1016/j.urology.2005.08.012