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Papers of the Week


2021 Jan 19


Int Neurourol J

Intrapelvic Nerve Entrapment Syndrome Caused by a Variation of the Intrapelvic Piriformis Muscle and Abnormal Varicose Vessels.

Authors

Kale A, Basol G, Topcu AC, Gundogdu EC, Usta T, Demirhan R
Int Neurourol J. 2021 Jan 19.
PMID: 33504131.

Abstract

Entrapment neuropathy of the sciatic nerve and pudendal nerve are painful syndromes that are mostly overlooked by physicians. Laparoscopic surgical intervention for nerve entrapment syndromes of the posterior pelvis focuses on removal of the compression lesion with the purpose of eliminating the suspected cause of the sciatica, as well as pudendal neuralgia. The authors report the rare event of sciatic and pudendal nerve entrapment, which is caused by aberrant vessels and a variant piriformis muscle bundle as a seldom diagnosed cause of sciatica and pelvic pain, for both neurosurgeons and neuropelveologists. The authors present the laparoscopic decompression technique of pudendal and sciatic nerves by giving our technical "tips and tricks" enriched by surgical video.