pelviperineology. 2020; 39(4): 132-136 | DOI: 10.34057/PPj.2020.39.04.005

Magnetic resonance imaging of pudendal nerve: technique and results

VITTORIO PILONI¹, MATTIA BERGAMASCO², ANDREA CHIAPPERIN², MATTEO MAZZUCCO², TOMMASO FELICI³, JESSICA ANDREATINI³, NOEMI NUCERA³, ELENA FREDDI^3
1Affidea-Iniziativa Medica, Padua, Italy; Diagnostica Marche, Ancona, Italy, ²Affidea-Iniziativa Medica, Padua, Italy, ³Diagnostica Marche, Ancona, Italy

Objective: :To update the ongoing contribution of magnetic resonance imaging (MRI) in clinical practice
Materials and Methods: :The imaging series of pelvic MRI examinations carried out in 580 consecutive patients (401 women, 179 men, mean age 51±5.3 year and 40±4.4 year, range: 18-87 and 24.62 year, respectively) in two different diagnostic centres from March 2012 (centre A) and April 2017 (centre B) to October 2020 in patients with chronic pelvic pain, were retrospectively reviewed for evidence of features of pudendal nerve injury. Ten volunteer asymptomatic nulliparous females (mean age: 24±2.1 years, range: 23-27 years) were also included as control group.
Results: :Pudendal nerve injury could consistently be documented on specific MR pulse sequences as hyperintensity and distortion of the nerve pathway in up to 454 (78.27%) of patients and in none of the control group, indicating the high reliability of the diagnostic criteria and leading to implementation of an established MR imaging protocol.
Conclusion: :MRI is promising for clinical practice and research in pudendal neuropathy.

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Cite This Article

PILONI V, BERGAMASCO M, CHIAPPERIN A, MAZZUCCO M, FELICI T, ANDREATINI J, NUCERA N, FREDDI E. Magnetic resonance imaging of pudendal nerve: technique and results. 2020; 39(4): 132-136

Corresponding Author: PILONI V.

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