Ultrasound-Guided Pudendal Nerve Dextrose Hydrodissection for Urinary Incontinence: A Clinical Review and Case Reports.

BACKGROUND

Pudendal nerve (PN) entrapment can result from both mechanical and nonmechanical causes. Mechanically, the nerve may be compressed, transected, or stretched, often during surgical procedures. Nonmechanical causes may include chronic conditions, such as diabetes mellitus.

CASE REPORTS: These case series include a 66-year-old man with a 3-year history of benign prostatic hyperplasia, who complained of urinary incontinence after surgery, and a 67-year-old woman with a 10-year history of well-controlled type 2 diabetes and diabetic urogenital autonomic neuropathy, whose urinary incontinence responded to ultrasound-guided dextrose hydrodissection of the PN.

CONCLUSIONS

Ultrasound-guided PN dextrose hydrodissection can be a straightforward and safe treatment option for urinary incontinence.