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Perineal Pudendal Neurotomy versus Selective Neurotomy of the S2 Somatic Contribution to the Pudendal Nerve

 

作者: Ruud J.L.H. Bosch,   François Benard,   Sherif R. Aboseif,   Richard A. Schmidt,   Emil A. Tanagho,  

 

期刊: Urologia Internationalis  (Karger Available online 1992)
卷期: Volume 48, issue 1  

页码: 48-52

 

ISSN:0042-1138

 

年代: 1992

 

DOI:10.1159/000282296

 

出版商: S. Karger AG

 

关键词: Sacral root stimulation;Pudendal neurotomy

 

数据来源: Karger

 

摘要:

In 10 dogs that underwent bilateral electrode implantation on the S2 ventral root, 5 then underwent a bilateral total perineal neurotomy of the pudendal nerve (group A) at 3 months and 5 bilateral division of the S2 somatic contribution to the pudendal nerve (group B). The effects of these 2 types of neurotomy on the bladder and urethral responses to electrostimulation were compared after another 3 months. In group A, the proximal and midurethral responses decreased significantly [69.1 % (p = 0.004) and 79.6% (p = 0.002), respectively]. A decrease in bladder response [26% (p = 0.089)], although not significant, was also found. In group B, the decrease in the proximal urethral response was significant [67.8% (p = 0.012)]; the midurethral response (56.8%) was not statistically significant (p = 0.134). The bladder response decreased by 73.6% (p = 0.034). Thus, although pudendal neurotomy can be effective in reducing the outlet resistance, the pudendal nerve may have an important role in the regulation of micturition in the dog. Preoperative testing of the effect of a pudendal neurotomy by temporary nerve blocks is warranted to avoid undesirable side effects such as a decrease in bladder excitability.

 

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