Surgery versus conservative management for pudendal nerve entrapment

Sixteen women were randomized to each of two groups, either a group who underwent surgery to decompress the pudendal nerve or a group treated by conservative management. On an intention-to-treat basis, 50% of the intervention group were improved compared to 6.2% of the control group at 3 months. Analyzing by actual treatment, 71.4% of the surgery group were improved at 12 months compared to 13.3% of the control group. At 4 years, eight of those randomized to surgery were still improved (50%). The authors conclude that while the intervention is worthwhile, other modalities of treatment are likely to be needed in addition [37].

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