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       YOUR DAILY DOSE OF SCIENCE                                                                                             003






















                                 TURKISH

                                 NEUROLOGIST

                                 DISCOVERED A



                                 NEW DIAGNOSTIC

                                 PROCEDURE




       One of the most common                             PATIENTS’ QUALITY OF      during sexual intercourse   or less problematic nerve
       causes of genital and                              LIFE DETERIORATES         especially in women, are   covers the findings of the
       pelvic pain, “Pudendal                                                       among the supporting     problematic nerve.  In
       Neuropathy”, also known as                         This problem, which occurs   supportive findings”.    addition, although pain
       “Pudendal Nerve Jam”, is a                         especially in women who                            appeared while sitting,
       problem in every 15 people                         have given too many births,   Patients with pudendal   examinations were being
       in our country.  However,   TURKISH                can start suddenly due    nerve compression cannot   made by having the
       due to the difficulty of the                       to heavy lifting, reverse   perform simple daily   patient lied down.  This was
       diagnosis and the fact that   SIGNATURE TO         movement, falling or a    activities such as driving   preventing the problem
       many physicians are not                            heavy sports activity, and   or cycling.  In short, as   from being detected”.
       familiar with the subject,   THE DIAGNOSIS         may also occur gradually   the quality of life of the
       patients may have to live   OF PUDENDAL            over time.  Assoc. Prof.   patients deteriorates, they   THE DIAGNOSIS METHOD
       with difficulties for years                        Burcu Örmeci, who says    have difficulty in doing the   WAS ALSO ACCEPTED
       without diagnosis.  Thanks   NERVE                 that the most prominent   activities required by daily
       to the new diagnostic     COMPRESSION,                                       life.                    INTERNATIONALLY
       method developed by                                feature of the pudendal
                                                          nerve compression is the
       Neurology Specialist      ONE OF                   pain sensation that the                            Explaining that they have
       Assoc. Prof. Burcu Örmeci,   THE MOST                                        CANNOT BE DETECTED       started to evaluate the
       the diagnosis can be                               patient experiences while   BY IMAGING METHODS     two nerves separately with
       made much faster and      COMMON                   sitting, gives the following                       the electrical diagnosis
       more accurately. Thus, it is   CAUSES OF           information about the     Different methods, from   method they developed,
       possible to proceed to the                         problems experienced by   laboratory findings to   Assoc. Prof. Burcu Örmeci
       treatment without wasting   GENITAL AND            the patient,              imaging, are used for the   continues her words as
       time.                                                                        diagnosis of pudendal    follows: “We have further
                                 PELVIC PAIN.             “Pain caused by pudendal   nerve compression.      developed the existing
       A problem similar to wrist                         compression is usually seen   However, since the   method.  With the small
       nerve compression, known                           near the nerve.  Patients   underlying cause is not   electrodes we placed
       in the community as                                talk about the sense of   found most of the time, the   on the right and left, we
       carpal tunnel syndrome,                            alienation in the vagina   patient can be directed to   managed to evaluate the
       can occur in the Pudendal                          and rectum.  However,     receive treatment in this   two nerves separately.
       nerve, which is responsible                        they complain of pain     direction, considering that   Thus, we succeeded to
       for the genital area. This                         during bowel movements,   the source of the problem   determine whether there
                                                                                                             was compression in the
       problem, which manifests                           unbearable pain due to    is psychological.  Assoc.
       itself with problems such                          pressure from urination   Prof. Burcu Örmeci, who   unilateral or bilateral
       as pain especially with                            (especially in constipation).    says that it is very difficult   Pudendal nerve.  We also
       sitting in the genital area,                       The pain that is felt less   to perform electrical   succeeded to shoot, not
       sexual function problems,                          in the morning hours but   diagnosis methods (such   while in laying position, but
       urination or incontinence,                         increases during the day   as EMG, SEP) as the nerve   also in a sitting position
       is often confused with                             is described as burning,   passes deep, gives the   which is considered that
       urinary tract infections or                        tearing, electrifying and   following information: “The   the pain is most severe.
       prostate inflammation.                             stinging like a sharp knife.    pudendal nerve is located   Thanks to this, diagnoses
       Therefore, patients may                            It is not accompanied by   both on the left and the   that could not be made
       have to continue living with                       itching or loss of sensation.    right side of the genital   for 3-4 years in the past
       pain, despite the antibiotic                       In such a table, it is    area, but neuropathic pain   can now be made faster.
       treatment they have                                necessary to suspect that   is usually seen on one side   This method, which we use
       received for months.  It is                        a different problem exists.    or more on one side.  Since   as a standard diagnostic
       very important to diagnose                         In addition, the sense of   the evaluations have been   method, was also
       in time, as pudendal nerve                         pain in the hips while sitting   carried out so far in a way   accepted by international
       compression can have                               but not in every patient,   to evaluate the midline,   authorities”.
       results that can take the                          pain that spreads to the   even two nerves, at the
       person from the society to                         sciatic nerve area and does   same time, the diagnosis
       the point of abstraction as                        not respond to treatment,   could not be made
       well as physical problems.                         frequent urination, pain   because the problematic
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