Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Review Article Volume 6 Issue 2

Anatomy and Generalities of the Pelvic Nerves, Neuropelveology, A Discipline for the Management and Approach of Chronic Pelvic Pain: Review of the Literature

Maria Jimena Barroso Alverde1, Mariana Ximena Vasco Rivero1, Amairani Méndez Vionet2, Maria Fernanda Bautista Gonzalez1, Fernanda López Torres1, Mauricio Muleiro Alvarez1, Jimena Ruiz de Chávez Gascón1, Isabel Noemi Torres1, Felipe Esparza Salazar1, Sylvia Salmun Nehmad1, Alexa Cruz Olascoaga3, Ana Sierra Brozon4 and Ramiro Cabrera Carranco5*

1Centro de Investigación en Ciencias de la Salud (CICSA), Facultad de Ciencias de la Salud Universidad Anáhuac México Norte, Mexico
2Facultad de Ciencias de la Salud Universidad Panamericana, Mexico
3Universidad Autónoma Metropolitana Unidad Xochimilco, Mexico
4Neurovascular Pelvic Institute, San Juan del Rio Querétaro, Mexico
5Director del Departamento en Cirugía Pélvica, Doyenne High Quality and Multidisciplinary Treatment Center for Endometriosis, Mexico

*Corresponding Author: Ramiro Cabrera Carranco, Director del Departamento en Cirugía Pélvica, Doyenne High Quality and Multidisciplinary Treatment Center for Endometriosis, Mexico.

Received: August 11, 2023; Published: January 06, 2024

Abstract

Neuropelveology (NP) is a new discipline focused on common pelvic pathologies, meaning the diagnosis and treatment of pelvic nerve injuries associated with chronic pelvic pain (CPP), which is the main symptom for which patients seek gynecology services. CPP affects multiple organs due to the connection of the intrapelvic organs and their innervation with the autonomic and somatic nerve plexuses. Therefore, NP involves a multidisciplinary approach, primarily neurological, gynecological, neurosurgical, urological, and colorectal. Objective: To understand the general aspects of NP and its application in CPP. Methods: A systematic search was conducted in Pubmed using the following keywords: Neuropelveology, chronic pelvic pain, and pelvic nerves. The inclusion criteria were as follows: availability of the text and original and review articles with publication dates from 2008 to 2023, excluding articles that were not in English and not indexed. Results: We described the most important endpoints of NP found in the literature and made a table to understand the importance of NP in CPP.

Keywords: Pathology; Urology; Etiology

References

  1. Cho YS. “Chronic Pelvic Pain and Neuropelveology”. International Neurourology Journal4 (2017): 233-234.
  2. Possover M., et al. “Neuropelveology: New Groundbreaking Discipline in Medicine”. Journal of Minimally Invasive Gynecology 7 (2015): 1140-1141.
  3. Possover M., et al. “Neuropelveology: An Emerging Discipline for the Management of Chronic Pelvic Pain”. International Neurourology Journal4 (2017): 243-246.
  4. Possover M. “Neuropelveology: An Emerging Discipline for the Management of Pelvic Neuropathies and Bladder Dysfunctions through to Spinal Cord Injury, Anti-Ageing and the Mars Mission”. Journal of Clinical Medicine 10 (2020): 3285.
  5. Lamvu G., et al. “Chronic Pelvic Pain in Women: A Review”. JAMA 23 (2021): 2381-2391.
  6. Fillingim RB., et al. “Assessment of Chronic Pain: Domains, Methods, and Mechanisms”. Journal of Pain 17 (2016): T10-20.
  7. DeSilva JM and Rosenberg KR. “Anatomy, Development, and Function of the Human Pelvis”. The Anatomical Record (Hoboken)4 (2017): 628-632.
  8. Ameer MA., et al. “Anatomy, Abdomen and Pelvis: Uterus”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  9. Chaudhry SR and Chaudhry K. “Anatomy, Abdomen and Pelvis: Uterus Round Ligament”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  10. Roach MK and Andreotti RF. “The Normal Female Pelvis”. Clinical Obstetrics and Gynecology 1 (2017): 3-10.
  11. Hoare BS and Khan YS. “Anatomy, Abdomen and Pelvis: Female Internal Genitals”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  12. Bordoni B., et al. “Anatomy, Abdomen and Pelvis, Pelvic Floor”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  13. Mistry MA., et al. “A structured review on the female urethral anatomy and innervation with an emphasis on the role of the urethral longitudinal smooth muscle”. International Urogynecology Journal1 (2020): 63-71.
  14. Flynn H., et al. “Narrowing in on urethral strictures”. Australian Journal of General Practice 4 (2021): 214-218.
  15. Eickmeyer SM. “Anatomy and Physiology of the Pelvic Floor”. Physical Medicine and Rehabilitation Clinics of North America3 (2017): 455-460.
  16. Rocca Rossetti S. “Functional anatomy of pelvic floor”. Archivio Italiano di Urologia e Andrologia 1 (2016): 28-37.
  17. Barleben A and Mills S. “Anorectal anatomy and physiology”. Surgical Clinics of North America 1 (2010): 1-15.
  18. Gupton M and Varacallo M. “Anatomy, Abdomen and Pelvis, Genitofemoral Nerve”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2022). PMID: 28613484.
  19. Cirocchi R., et al. “Ilioinguinal Nerve Neurectomy is better than Preservation in Lichtenstein Hernia Repair: A Systematic Literature Review and Meta-analysis”. World Journal of Surgery 6 (2021): 1750-1760.
  20. Refai NA., et al. “Anatomy, Bony Pelvis and Lower Limb, Thigh Femoral Nerve”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2022). PMID: 32310525.
  21. Yoshida T., et al. “Ultrasound-Guided Obturator Nerve Block: A Focused Review on Anatomy and Updated Techniques”. BioMed Research International 2017 (2017): 7023750.
  22. Kale A., et al. “Comparison of Isolated Sciatic Nerve and Sacral Nerve Root Endometriosis: A Review of the Literature”. Journal of Minimally Invasive Gynecology 8 (2022): 943-951.
  23. Kinter KJ and Newton BW. “Anatomy, Abdomen and Pelvis, Pudendal Nerve”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  24. Correia JA., et al. “The developmental anatomy of the human superior hypogastric plexus: A morphometrical investigation with clinical and surgical correlations”. Clinical Anatomy8 (2010): 962-970.
  25. Ahmed DG., et al. “Superior hypogastric plexus combined with ganglion impar neurolytic blocks for pelvic and/or perineal cancer pain relief”. Pain Physician1 (2015): E49-56.
  26. Yoham AL and Bordoni B. “Anatomy, Abdomen and Pelvis: Inferior Hypogastric Plexus”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2022).
  27. Lemos N., et al. “Rehabilitation of People With Chronic Spinal Cord Injury Using a Laparoscopically Implanted Neurostimulator: Impact on Mobility and Urinary, Anorectal, and Sexual Functions”. Neuromodulation 1 (2023): 233-245.
  28. Possover M. “The sacral LION procedure for recovery of bladder/rectum/sexual functions in paraplegic patients after explantation of a previous Finetech-Brindley controller”. Journal of Minimally Invasive Gynecology 1 (2009): 98-101.
  29. Kolodziej M., et al. “Interdisciplinary Laparoscopic Implantation of Neuromodulation Leads to the Sacral Plexus for Therapy of Chronic Pelvic Pain and Neurogenic Bladder Dysfunctions”. Neuromodulation 8 (2020): 1151-1157.
  30. Li ALK., et al. “Laparoscopic implantation of electrodes for bilateral neuromodulation of the pudendal nerves and S3 nerve roots for treating pelvic pain and voiding dysfunction”. International Urogynecology Journal 7 (2018): 1061-1064.
  31. Possover M. “The LION procedure to the pelvic nerves for treatment of urinary and faecal disorders”. Surgical Technology International 24 (2014): 225-230.
  32. Possover M., et al. “New strategies of pelvic nerves stimulation for recovery of pelvic visceral functions and locomotion in paraplegics”. Neurourology Urodyn8 (2010): 1433-1438.
  33. Possover M. “The LION Procedure to the Pelvic Nerves for Recovery of Locomotion in 18 Spinal Cord Injured Peoples - A Case Series”. Surgical Technology International 29 (2016): 19-25.
  34. Possover M. “The "Possover-LION Procedure" to the Pelvic Somatic Nerves in People With a Spinal Cord Injury”. Journal of Minimally Invasive Gynecology3 (2022): 340.
  35. Tate DG., et al. “Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease”. The Journal of Spinal Cord Medicine 2 (2020): 141-164.
  36. Culleton-Quinn E., et al. “Elite female athletes' experiences of symptoms of pelvic floor dysfunction: A systematic review”. International Urogynecology Journal10 (2022): 2681-2711.
  37. Grimes WR and Stratton M. “Pelvic Floor Dysfunction”. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  38. As-Sanie S., et al. “Incidence and predictors of persistent pelvic pain following hysterectomy in women with chronic pelvic pain”. American Journal of Obstetrics and Gynecology5 (2021): 568.e1-568.e11.
  39. Tayyeb M., et al. “Dyspareunia”. In: StatPearls. Treasure Island (FL): StatPearls Publishing; (2023).
  40. Ghaderi F., et al. “Pelvic floor rehabilitation in the treatment of women with dyspareunia: a randomized controlled clinical trial”. International Urogynecology Journal11 (2019): 1849-1855.
  41. Romeikienė KE and Bartkevičienė D. “Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods”. Medicina (Kaunas)4 (2021): 387.
  42. Schulten SFM., et al. “Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis”. American Journal of Obstetrics and Gynecology2 (2022): 192-208.
  43. Alouini S., et al. “Pelvic Floor Muscle Training for Urinary Incontinence with or without Biofeedback or Electrostimulation in Women: A Systematic Review”. International Journal of Environmental Research and Public Health 5 (2022): 2789.
  44. Sachedina A and Todd N. “Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents”. Journal of Clinical Research in Pediatric Endocrinology 12 (2020): 7-17.
  45. Wozniak S. “Chronic pelvic pain”. Annals of Agricultural and Environmental Medicine2 (2016): 223-226.
  46. Possover M., et al. “Pelvic congestion syndrome and May-Thurner syndrome as causes for chronic pelvic pain syndrome: neuropelveological diagnosis and corresponding therapeutic options”. Facts, Views and Vision in ObGyn 2 (2021): 141-148.
  47. Insinga S., et al. “Surgical Neuropelveology: Laparoscopic Nerve-sparing Excision of a Pelvic Schwannoma”. Journal of Minimally Invasive Gynecology9 (2023): 691.
  48. Di Donna MC., et al. “Surgical Neuropelveology: Lateral Femoral Cutaneous Nerve Endometriosis. Laparoscopic Resection and Nerve Transplantation”. Journal of Minimally Invasive Gynecology12 (2021): 1978-1979.

Citation

Citation: Ramiro Cabrera Carranco., et al. “Anatomy and Generalities of the Pelvic Nerves, Neuropelveology, A Discipline for the Management and Approach of Chronic Pelvic Pain: Review of the Literature".Acta Scientific Women's Health 6.2 (2024): 19-27.

Copyright

Copyright: © 2024 Ramiro Cabrera Carranco., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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