Evidence map›Paper›PMID 37208481›Full record

ArticleSurgical endoscopy2023

First case-series of robot-assisted pudendal nerve release: technique and outcomes.

Carlo Giulioni, Anastasios D Asimakopoulos, Filippo Annino, Giulia Garelli, Julien Riviere, Julie Piechaud-Kressmann, Nam-Son Vuong, Laurent Hugo Lopez, Jean-Baptiste Roche, Jean Rouffilange and 5 more

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
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  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Carlo Giulioni *Department of Urology, University Hospital "Ospedali Riuniti", Ancona, Italy.
Anastasios D Asimakopoulos *Unit of Urology, Fondazione PTV Policlinico Tor Vergata, Rome, Italy. tasospao2003@yahoo.com.ORCID 0000-0002-7230-579X
Filippo AnninoUnit of Urology, Azienda Toscana Sud-Est, San Donato Hospital, Arezzo, Italy.
Giulia GarelliDepartment of Urology, ASST FBF Sacco, Milan, Italy.
Julien RiviereUrology Department, Clinique Saint Augustin, Bordeaux, France.
Julie Piechaud-KressmannUrology Department, Clinique Saint Augustin, Bordeaux, France.
Nam-Son VuongUrology Department, Clinique Saint Augustin, Bordeaux, France.
Laurent Hugo LopezUrology Department, Clinique Saint Augustin, Bordeaux, France.
Jean-Baptiste RocheUrology Department, Clinique Saint Augustin, Bordeaux, France.
Jean RouffilangeUrology Department, Clinique Saint Augustin, Bordeaux, France.
Jean-Luc HoepffnerUrology Department, Clinique Saint Augustin, Bordeaux, France.
Andrea Benedetto GalosiDepartment of Urology, University Hospital "Ospedali Riuniti", Ancona, Italy.
Richard Pierre GastonUrology Department, Clinique Saint Augustin, Bordeaux, France.
Thierry PiechaudUrology Department, Clinique Saint Augustin, Bordeaux, France.
Grégory PierquetUrology Department, Clinique Saint Augustin, Bordeaux, France.
Clinique du Sport · FRAzienda Ospedaliero Universitaria Ospedali Riuniti · ITASST Fatebenefratelli Sacco · ITOspedale San Donato · ITPoliclinico Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePudendal Nerve Entrapment (PNE) may determine chronic pelvic pain associated with symptoms related to its innervation area. This study aimed to present the technique and report the outcomes of the first series of robot-assisted pudendal nerve release (RPNR). PATIENTS AND

methods32 patients, who were treated with RPNR in our centre between January 2016 and July 2021, were recruited. Following the medial umbilical ligament identification, the space between this ligament and the ipsilateral external iliac pedicle is progressively dissected to identify the obturator nerve. The dissection medial to this nerve identifies the obturator vein and the arcus tendinous of the levator ani, which is cranially inserted into the ischial spine. Following the cold incision of the coccygeous muscle at the level of the spine, the sacrospinous ligament is identified and incised. The pudendal trunk (vessels and nerve) is visualized, freed from the ischial spine and medially transposed.

resultsThe Median duration of symptoms was 7 (5, 5-9) years. The median operative time was 74 (65-83) minutes. The median length of stay was 1 (1-2) days. There was only a minor complication. At 3 and 6 months after surgery, a statistically significant pain reduction has been encountered. Furthermore, the Pearson correlation coefficient reported a negative relationship between the duration of pain and the improvement in NPRS score, - 0.81 (p = 0.01).

conclusionsRPNR is a safe and effective approach for the pain resolution caused by PNE. Timely nerve decompression is suggested to enhance outcomes.

Indexed as

Pudendal NervePudendal NeuralgiaRoboticsHumansPelvic FloorPelvic PainPelvic floor disordersPelvic painPudendal nervePudendal nerve entrapmentPudendal neuralgiaRobot-assisted surgery

Identifiers

PMID37208481
OpenAlexW4377092037

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.