Erectile functon recovery after laparoscopic decompression of pudendal artery and nerve: a documented case report

Key Words: erectile dysfunction pudendal nerve entrapment laparoscopic surgery CASE PRESENTATION A 32-year-old Caucasian man with no previous remarkable medical history presented to the hospital with a complaint of erectile dysfunction (ED) not responsive to medical therapy [phosphodiesterase type 5...

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Bibliographic Details
Published in:Central European journal of urology 2020-10, Vol.73 (4), p.1-3
Main Authors: Maggi, Martna, Pirola, Giacomo Maria, Absil, Fabienne, Plaen, Elea De, Mosca, Augusto, Salciccia, Stefano, Sciarra, Alessandro, Bollens, Renaud
Format: Article
Language:English
Subjects:
Case reports
Erectile dysfunction
Laparoscopy
Ligaments
Pain
Penis
Surgery
Ultrasonic imaging
Urology
Veins & arteries
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Summary:Key Words: erectile dysfunction pudendal nerve entrapment laparoscopic surgery CASE PRESENTATION A 32-year-old Caucasian man with no previous remarkable medical history presented to the hospital with a complaint of erectile dysfunction (ED) not responsive to medical therapy [phosphodiesterase type 5 (PDE-5) inhibitors for the last 3 years], and concomitant poor orgasmic sensation. Pudendal nerve (PN) infiltration, under computed tomography (CT) guidance, led to a temporary relief of symptoms. Since pudendal compression was the suspected etiology causing these symptoms, and in accordance to the patient's wish, right PN and artery decompression was performed through a laparoscopic approach. [...]as the main concerns about the open surgical techniques described to treat PNE (transperineal, transgluteal, and via the ischiorectal fossa) are their invasiveness, difficultly of access and limited visibility, over the last years minimally invasive surgery has been proposed to overcome these limitations [7, 8, 9].
ISSN:2080-4806
2080-4873
DOI:10.5173/ceju.2020.0088.R1