{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:45:10Z","timestamp":1792176310821,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To define and demonstrate a step\u2010by\u2010step surgical anatomical approach to pudendal nerve dissection using female cadavers, focusing on the identification of safe roadmap and key neurovascular structures to optimize pelvic nerve surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive anatomical study was conducted on 60 hemipelvises from 30 female cadavers. Dissections were performed in three stages comprising nine procedural steps to expose the pudendal nerve and related pelvic nerves. Key neurovascular landmarks were documented using video recordings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The dissection was organized into three stages: (1) exposure of the genitofemoral nerve and obturator fossa and its contents, (2) identification of the lumbosacral trunk and sciatic nerve, and greater sciatic notch (3) visualization of the pudendal nerve beneath the sacrospinous ligament. Variations in pudendal nerve branching and anatomical relationships with adjacent structures, including the sacrospinous ligament and ischial spine, were documented. This stepwise approach provided clear surgical landmarks to minimize the risk of nerve injury during pelvic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This cadaveric study provides a detailed, practical roadmap for pudendal nerve dissection, enhancing anatomical understanding of pelvic neurovascular structures. The defined surgical approach in three stages, nine steps, and this comprehensive anatomical understanding can improve surgical precision and supports safer nerve\u2010sparing techniques in complex pelvic surgery including gynecologic pelvic surgical procedures, surgeries for pudendal neuralgia, and deep infiltrating endometriosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71065","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T09:46:57Z","timestamp":1778320017000},"page":"715-723","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Applied surgical anatomical approach to pudendal nerve: Step\u2010by\u2010step key neurovascular structures for pelvic nerve surgery"],"prefix":"10.1002","volume":"175","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4411-1672","authenticated-orcid":false,"given":"Merve Didem","family":"E\u015fkin Tanr\u0131verdi","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics Ankara Bilkent City Hospital  Ankara Turkey"},{"name":"Clinical Anatomy (PhD Program), Health Sciences Institute, Ankara University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9309-838X","authenticated-orcid":false,"given":"Ayhan","family":"C\u00f6mert","sequence":"additional","affiliation":[{"name":"Department of Anatomy Ankara University, School of Medicine  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5766-6862","authenticated-orcid":false,"given":"Zekiye G\u00f6zde","family":"Kara","sequence":"additional","affiliation":[{"name":"Ankara Group Presidency, Forensic Medicine Institution  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1877-7240","authenticated-orcid":false,"given":"Hasan 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