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Chapter 16 - Other Peripheral Pelvic Neuralgias

Published online by Cambridge University Press:  08 March 2021

Michael Hibner
Affiliation:
St Joseph’s Hospital & Medical Center, Phoenix, AZ
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Summary

Pelvic nerve disorders are often an unrecognized cause of pelvic pain. Multiple nerves innervate the pelvis and perineum and they may get injured in surgery, childbirth, or accidents. Knowledge of pelvic dermatomes is very important to any physician taking care of patients with pelvic pain because areas of innervation often overlap. Selective pelvic nerve blocks, either ultrasound- or CT-guided, may be very helpful in properly diagnosing the affected nerve. Sensory nerves such as the ilioinguinal nerve or genitofemoral nerve can be transected as long as the patient understands that she will be permanently numb in the area of innervation of the nerve. Others such as the pudendal nerve should not be transected because of its motor component and therefore treatments described in previous chapter should be applied.

Type
Chapter
Information
Management of Chronic Pelvic Pain
A Practical Manual
, pp. 168 - 174
Publisher: Cambridge University Press
Print publication year: 2021

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