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There are a limited number of physicians around the world treating pudendal neuralgia and pudendal nerve entrapment:
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Dr. James Beco is a perineologist who performs pudendal nerve decompression surgery using the perineal approach. As a modification to Prof. Shafik’s perineal procedure, Dr. Beco opens the “clamp” between the sacro-spinal and sacro-tuberous ligaments. It is not a true “clamp” but actually a space closed by a fascia called the “fascia lunata”. After opening this fascia from the coccyx to the ischion there is a large space between the 2 ligaments where the nerve can move freely. He does not believe it is necessary to cut the ligaments to free the nerve. At the end of the surgery he separates the pudendal nerve from the sacro-spinal ligament which can be a difficult procedure. Link to overview of Dr. Beco’s procedure: http://www.perineology.com/files/iuga2006-poster-beco.pdf
Dr. Beco’s contact information:
HC Clinique Sainte-Elisabeth
Rue du Naimeux
B-4802, Heusy
Belgium
Office address:
9a Avenue Hanlet
B-4802 Heusy
Belgium
Phone: 00 32 / 87 23 01 69
Fax: 00 32 / 87 23 04 69
E-mail: Jacques.beco@skynet.be
Dr. Gérard Amarenco is a neurologist that administers nerve blocks for PN patients.
Rééducation Neurologique et Explorations Périnéal
Rothschild Hospital
33 Boulevard de Picpus
75012 PARIS
France
Phone: +33 140 19 36 41
E-mail: gerard.amarenco@rth.aphp.fr
Dr. Eric Bautrant is a pelvic surgeon in France who performs the trans-ischio-rectal fossa approach to pudendal nerve decompression surgery. This approach requires a small vaginal incision in women and a small incision between the anal area and scrotum for men. Usually the sacrospinous ligament is partially severed to relieve the compressed nerve but the sacrotuberous ligament is spared. To read more about his procedure click on this link: http://www.perineology.com/files/pne_bautrant.pdf
It is best to contact him through e-mail.
Dr. Eric Bautrant
L'AVANCEE
25, rue Victor Hugo
13100 AIX EN PROVENCE
Phone number: 04 42 37 38 07
Fax : 04 42 26 60 76
Email: ebautrant@l-avancee.fr
chir.gyneco@l-avancee.fr
Professor Roger Robert leads a team of physicians from Nantes, France that diagnose and treat pudendal neuralgia. Prof. Robert developed the trans-gluteal technique for surgical release of the nerve. This team of physicians includes Dr. Labat, a neurologist that performs EMG, pudendal nerve motor latency testing and other tests to confirm the presence of PNE. Dr. Riant is an anesthesiologist that performs nerve blocks and assists in the diagnosis effort. Dr. Guerineau is a Kinestherapist and physical therapist that through his techniques, reduces muscle spasm thereby decreasing a patient's pain level. Since contact is only available via mail, please include your name, date of birth, address, phone number, a history of your symptoms, treatments that you have tried, and an e-mail address, if available.
Professor Roger Robert
c/o Dr. Maurice Bensignor
Centre Catherine de Sienne
2 Rue Eric Tabarly
44202 NANTES CEDEX
France
Dr. Bruno Roche leads a team of physicians from Geneva, Switzerland. Dr. Roche is a surgeon specializing in coloproctology and perineal surgery. He was trained by Professor Robert in the trans-gluteal technique of surgical decompression. He works closely with Dr. Alex Cahana, an anesthetist and chief of the pain clinic. Dr. Cahana specializes in pain evaluation and infiltrations. Dr. Joan Robert-Yak performs pudendal nerve motor latency testing and handles any neuromodulation treatment that may be required.
Unité de Proctology
Hopitaux Universitaire de Geneve
1211 Geneve 14
Phone: +41 22 372 79 34
Fax: +41 22 372 79 09
E-mail: Martine.Martelletta@hcuge.ch
Dr. Eric de Bisshop is a pelvic neurologist who pracitices in Aubagne close to Marseille, France. He performs EMG’s and does EMG guided pudendal nerve and ilioinguinal nerve blocks. Since November of 2009 Dr. de Bisshop has performed PNE decompression surgery using the perineal approach with a balloon probe, sparing the ligament.
Dr. de Bisshop works with his wife, Dr. Rajeshree Nundall who uses angiology to assess the pudendal blood vessels. If there is a pudendal nerve entrapment the blood vessels will also be entrapped since they travel alongside each other. Angiology confirms EMG testing and gives information about tissues including scar tissue after surgery. This is a link to Dr. Nundall’s scientific paper: http://www.perineology.com/files/doppler-nundlal.pdf
This is Dr. de Bisshop’s contact information – the best way to contact him is through e-mail:
55, avenue des Goums
13400 Aubagne,
France
Phone 00 33 442 163 395
Email: rajeshree@free.fr
Dr Jean-Pierre Spinosa practices in Swizterland and uses Prof. Shafik’s technique for PNE decompression.
FMH gynécologie et accouchements
Médecin Chef adjoint Hôpital de Morges
Anc. Médecin associé, Unité de périneologie, Hôp. Univ. Genève
Rue des Terreaux 2
1003 - Lausanne - Suisse
00 41 21 3290980
Email: spinosa@deckpoint.ch
A multidisciplinary Spanish team, located in Madrid, capital of Spain is helping patients suffering pudendal nerve entrapment and myofascial pelvic pain syndrome.
Dr. Fernando Itza is a pain medicine expert and coordinator of this team. Dr. Itza performs conservative treatments for pudendal neuralgia including: nerve blocks, perineural blocks, trigger point injections, Botox injections and neurostimulation. He provides medication management for neuropathic pain.
At this moment, they are sending possible surgical procedures to Dr. Bautrant in Aix en Provence (France).
Dr. Gomez ,urologist, provides the first diagnosis and offers the Botox injections and intraprostatic injections when needed (according to Dr. Guercini technique). The surgery will be done in Spain as soon as possible according to Dr. Bautrant technique.
Dr. Zarza ,neurophysiologist, performs neurophysiological test including : pudendal nerve motor latency, bulbocavernous reflex, evoked potentials, sympathetic-cutaneous response and electromyography of the external anal sphincter, the levator ani muscle or others muscles. In addition, he is able to carry out Botox injections and monitoring neuromuscular blockade.
Their PT´s team, led by Lydia Serra, is able to carry out pre- operative care and post-operative care for pudendal entrapment. They are specialized in treating myofascial pelvic pain syndrome, almost always associated with pudendal neuralgia.
Instituto de cirugía urológica avanzada (ICUA) http://www.urologia.tv/icua/contact/contact.shtml
Paseo de la Castellana, 23. Bajo B
28046 Madrid
España-Spain
Tel: + 91 4 35 28 44
Fax: + 91 308 02 99
e-mail: fitza@arrakis.es (Dr.Itza)
Dr. Andrew Baranowski is a urogynecologist that performs nerve blocks. He generally is in the practice of diagnosing and treating uro-genital pain related issues.
National Hospital for Neurology and Neurosurgery
Queen Square, London WC1N 3BG
Phone: 020 7837 3611
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