Robotic Assisted Pudendal Neurolysis for Severe Pudendal Neuralgia

Abstract

<h3>Study Objective</h3> To demonstrate robotic assisted pudendal neurolysis surgery in a patient with severe pudendal neuralgia. <h3>Design</h3> Patient followed until 6-month postoperative visit. <h3>Setting</h3> Video collected while patient in dorsal lithotomy position with steep Trendelenburg under general anesthesia in the operating room. <h3>Patients or Participants</h3> 60-year-old female with long history of chronic pelvic pain and pudendal neuralgia after multiple pelvic floor reconstructive surgeries at an outside facility. <h3>Interventions</h3> Robotic assisted pudendal neurolysis in a patient desiring additional treatment for her pudendal neuralgia after multiple other therapies. <h3>Measurements and Main Results</h3> Improvement in pain assessed via patient reported pain at both pre- and postoperative visits. Patient reported improved pain at both her 4-week and 6-month postoperative visits. <h3>Conclusion</h3> This video demonstrates robotic assisted pudendal neurolysis surgery in a patient desiring further treatment for her severe pudendal neuralgia. The patient reported improved pain at her postoperative visits. Robotic assisted pudendal neurolysis is a viable option for patients suffering from severe and refractory pudendal neuralgia.