OBJECTIVE To investigate possible altered CNS excitability in vaginismus. METHODS In 10 patients with primary idiopathic lifelong vaginismus, 10 with vulvar vestibulitis syndrome accompanied by vaginismus and healthy controls we recorded EMG activity from the levator ani (LA) and external anal sphincter (EAS) muscles and tested bulbocavernosus reflex (BCR). Pudendal-nerve somatosensory evoked...

Naturally occurring collatera l pathways con necting the external carotid artery branches and the intracran ial cerebral circulation are well recognized and have been demonstrated anatomically, angiographically, and physiologically by vari­ ous flow detection devices. Under normal c ircumstances, all internal carotid artery blood flow is direc ted intracranially, and flow through the co ll ater...

We treated 2 different types of intersexual patients who underwent a vaginoplasty with the pudendal-thigh flap. One was a female with testicular feminization syndrome for whom we reconstructed the total vagina with a pudendal-thigh flap, and the other was a female with an adrenogenital syndrome for whom we enlarged the introitus of the vagina with the same approach. There were no complications ...

Hypothesis / aims of study Understanding the neurotransmitter mechanisms involved in pudendal nerve inhibition of bladder activity could lead to identify new pharmacological targets for overactive bladder. Currently little is known about the effect of 5-hydroxytryptamine (5-HT) 2 receptor on micturition reflex. This study used methysergide, a non-specific 5-HT2 receptor antagonist, and naloxone...

This article introduces a hypothesis that the pudendal nerve compression syndrome, also known as the Alcock's syndrome in long-time duration bicycle riders might be caused by an irritation of the dorsal nerve of penis in a groove on the inferior ramus and the anterior surface of pubis, previously described by authors as the sulcus nervi dorsalis penis. Alcock's syndrome in bicycle riders has be...

This study was aimed at determining the arterial supply and gross vascular architecture of the urinary bladder in the male cat. For this purpose, the urinary bladders of 10 cats were evaluated. Organ vascularization was investigated using the latex injection technique. The feline urinary bladder was found to be supplied by the prostatic artery, which stemmed from the internal pudendal artery an...

INTRODUCTION Magnetic stimulation of the sacral nerve roots is used for neurologic examination. However, no one has reported therapeutic efficacy of pain relief from pudendal neuralgia with sacral magnetic stimulation. METHODS Five patients with pudendal neuralgia or sciatica received 30 to 50 pulsed magnetic stimuli of the sacral nerve roots. The median age of the patients was 59 (range, 28-...