Transischiorectal fossa approach for resection of pudendal nerve schwannoma: Case report

Stephanie Chen, Brandon Gaynor, Allan D. Levi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Pudendal nerve schwannomas are very rare, with only two cases reported in the English-language literature. The surgical approaches described in these two case reports are the transgluteal approach and the laparoscopic approach. The authors present the case of a patient with progressive pelvic pain radiating ipsilaterally into her groin, vagina, and rectum, who was subsequently found to have a pudendal schwannoma. The authors used a transischiorectal fossa approach and intraoperative electrophysiological monitoring and successfully excised the tumor. This approach has the advantage of direct access to Alcock's canal with minimal disruption of the pelvic muscles and ligaments. The patient experienced complete relief of her pelvic pain after the procedure.

Original languageEnglish (US)
Pages (from-to)636-639
Number of pages4
JournalJournal of Neurosurgery: Spine
Volume25
Issue number5
DOIs
StatePublished - Nov 2016

Keywords

  • Ischiorectal
  • Pudendal nerve
  • Schwannoma
  • Technique

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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