Successful Treatment of Penile Numbness and Erectile Dysfunction Resulting From Pudendal Nerve Entrapment

Urology. 2019 Dec:134:228-231. doi: 10.1016/j.urology.2019.09.010. Epub 2019 Sep 24.

Abstract

Pudendal nerve decompression surgery has not been studied or reported for the treatment of penile numbness in the absence of pain. Herein, we report a case of a male patient with chronic numbness of the penis and erectile dysfunction in the absence of pelvic pain who was found to have pudendal nerve entrapment. This patient was treated with surgical decompression of the pudendal nerves that resulted in the return of genital sensation and erections. Thus, we propose that pudendal nerve entrapment may be considered as a cause of penile numbness and that pudendal nerve decompression surgery in these patients may be effective.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Constipation / etiology
  • Decompression, Surgical
  • Erectile Dysfunction / etiology*
  • Fecal Incontinence / etiology
  • Humans
  • Hypesthesia / etiology*
  • Male
  • Neurologic Examination
  • Penis / innervation*
  • Pudendal Neuralgia / complications
  • Pudendal Neuralgia / diagnosis*
  • Pudendal Neuralgia / surgery
  • Urinary Incontinence / etiology