Successful Treatment of Penile Numbness and Erectile Dysfunction Resulting From Pudendal Nerve Entrapment

Pudendal nerve decompression surgery has not been studied or reported for the treatment of penile numbness in the absence of pain. Herein, we report a case of a male patient with chronic numbness of the penis and erectile dysfunction in the absence of pelvic pain who was found to have pudendal nerve...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2019-12, Vol.134, p.228-231
Main Authors: Luther, Ross D., Castellanos, Mario E.
Format: Article
Language:English
Subjects:
Adult
Constipation - etiology
Decompression, Surgical
Erectile Dysfunction - etiology
Fecal Incontinence - etiology
Humans
Hypesthesia - etiology
Male
Neurologic Examination
Penis - innervation
Pudendal Neuralgia - complications
Pudendal Neuralgia - diagnosis
Pudendal Neuralgia - surgery
Urinary Incontinence - etiology
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Summary:Pudendal nerve decompression surgery has not been studied or reported for the treatment of penile numbness in the absence of pain. Herein, we report a case of a male patient with chronic numbness of the penis and erectile dysfunction in the absence of pelvic pain who was found to have pudendal nerve entrapment. This patient was treated with surgical decompression of the pudendal nerves that resulted in the return of genital sensation and erections. Thus, we propose that pudendal nerve entrapment may be considered as a cause of penile numbness and that pudendal nerve decompression surgery in these patients may be effective.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2019.09.010