{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:17:50Z","timestamp":1777069070920,"version":"3.51.4"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Medical Hypotheses"],"published-print":{"date-parts":[[2020,11]]},"DOI":"10.1016\/j.mehy.2020.109991","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T13:05:02Z","timestamp":1591880702000},"page":"109991","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Perineural dextrose injections in the treatment of lower urinary tract symptoms and dyspareunia induced by obturator neuralgia"],"prefix":"10.1016","volume":"144","author":[{"given":"Jacques","family":"Beco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Mouchel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.mehy.2020.109991_b0005","series-title":"Last's anatomy: regional and applied","author":"McMinn","year":"1994"},{"key":"10.1016\/j.mehy.2020.109991_b0010","series-title":"Peripheral nerve entrapments: clinical diagnosis and management. Trescot, editor","author":"Trescot","year":"2016"},{"issue":"5","key":"10.1016\/j.mehy.2020.109991_b0015","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/0090-4295(87)90038-0","article-title":"Obturator neuropathy after multiple genitourinary procedures","volume":"29","author":"Crews","year":"1987","journal-title":"Urology"},{"issue":"3\u20134","key":"10.1016\/j.mehy.2020.109991_b0020","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1007\/s12178-008-9030-7","article-title":"Obturator neuropathy","volume":"1","author":"Tipton","year":"2008","journal-title":"Current reviews in Musculoskeletal Medicine"},{"issue":"6","key":"10.1016\/j.mehy.2020.109991_b0025","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1053\/j.jfas.2019.03.007","article-title":"Cutaneous branch of the obturator nerve extending to the medial ankle and foot: a report of two cadaveric cases","volume":"58","author":"Staples","year":"2019","journal-title":"J Foot Ankle Surgery"},{"key":"10.1016\/j.mehy.2020.109991_b0030","first-page":"110","article-title":"Subcutaneous prolotherapy treatment of refractory knee, shoulder, and lateral elbow pain","author":"Lyftogt","year":"2007","journal-title":"Australasian Musculoskeletal Medicine"},{"key":"10.1016\/j.mehy.2020.109991_b0035","first-page":"107","article-title":"Subcutaneous prolotherapy for Achilles tendinopathy: The best solution?","author":"Lyftogt","year":"2007","journal-title":"Australasian Musculoskeletal Medicine"},{"key":"10.1016\/j.mehy.2020.109991_b0040","first-page":"7920438","volume":"2017","author":"Lam","year":"2017","journal-title":"Biomed Res Int"},{"issue":"4","key":"10.1016\/j.mehy.2020.109991_b0045","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1002\/ana.25332","article-title":"Randomized double-blinded clinical trial of 5% dextrose versus triamcinolone injection for carpal tunnel syndrome patients","volume":"84","author":"Wu","year":"2018","journal-title":"Ann Neurol"},{"key":"10.1016\/j.mehy.2020.109991_b0050","doi-asserted-by":"crossref","unstructured":"Maniquis-Smigel L, Dean Reeves K, Jeffrey Rosen H, Lyftogt J, Graham-Coleman C, Cheng AL, et al. Short Term Analgesic Effects of 5% Dextrose Epidural Injections for Chronic Low Back Pain: A Randomized Controlled Trial. Anesth Pain Med. 2017;7(1):e42550. Epub 2017\/09\/19.","DOI":"10.5812\/aapm.42550"},{"issue":"8","key":"10.1016\/j.mehy.2020.109991_b0055","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1016\/j.mayocp.2017.05.025","article-title":"Six-month Efficacy of Perineural Dextrose for Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind","volume":"92","author":"Wu","year":"2017","journal-title":"Controlled Trial Mayo Clin Proc"},{"key":"10.1016\/j.mehy.2020.109991_b0060","doi-asserted-by":"crossref","unstructured":"Antolak S. Chronic Pelvic Pain: The peripheral neuropathic basis. In: AD K, editor. Scientific American Pain Management [online] Hamilton (ON): Decker Intellectual Properties2017.","DOI":"10.2310\/PM.15034"},{"issue":"5","key":"10.1016\/j.mehy.2020.109991_b0065","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s001920200060","article-title":"Understanding the concept of perineology","volume":"13","author":"Beco","year":"2002","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"8","key":"10.1016\/j.mehy.2020.109991_b0070","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1007\/s00464-018-6239-4","article-title":"Endoscopic transperineal pudendal nerve decompression: operative pudendoscopy","volume":"32","author":"Beco","year":"2018","journal-title":"Surg Endosc"},{"key":"10.1016\/j.mehy.2020.109991_b0075","unstructured":"Antolak SJ, Jr., Hough D, Pawlina W. Perineal suspension: a test and treatment for \u201cprostatitis-like\u201d symptoms of pudendal neuralgia, also known as NIH Category IIIB non-inflammatory prostatitis\/chronic pelvic pain syndrome. 2002. p. Western section of American Urological Association."},{"key":"10.1016\/j.mehy.2020.109991_b0080","series-title":"Genitourinary pain and inflammation","article-title":"Pudendal neuralgia: pudendal nerve entrapment, Alcock's canal syndrome, and pudendal canal syndrome","author":"Antolak","year":"2008"},{"key":"10.1016\/j.mehy.2020.109991_b0085","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/BF00460315","article-title":"Pudendal canal decompression in the treatment of urinary stress incontinence","volume":"5","author":"Shafik","year":"1994","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0090","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.ejogrb.2012.03.002","article-title":"Persistent pelvic pain following transvaginal mesh surgery: a cause for mesh removal","volume":"162","author":"Marcus-Braun","year":"2012","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.mehy.2020.109991_b0095","doi-asserted-by":"crossref","unstructured":"Rigaud J, Labat JJ, Riant T, Hamel O, Bouchot O, Robert R. Treatment of obturator neuralgia with laparoscopic neurolysis. J Urol. 2008;179(2):590-4; discussion 4-5.","DOI":"10.1016\/j.juro.2007.09.075"},{"key":"10.1016\/j.mehy.2020.109991_b0100","article-title":"Persistent groin pain following a trans-obturator sling procedure for stress urinary incontinence: a diagnostic and therapeutic challenge","author":"Hazewinkel","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"5","key":"10.1016\/j.mehy.2020.109991_b0105","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1111\/j.1464-410X.2007.07125.x","article-title":"Transobturator surgery for female stress incontinence: a comparative anatomical study of outside-in vs inside-out techniques","volume":"100","author":"Spinosa","year":"2007","journal-title":"BJU Int"},{"issue":"1","key":"10.1016\/j.mehy.2020.109991_b0110","doi-asserted-by":"crossref","first-page":"30","DOI":"10.5301\/je.5000271","article-title":"How to understand the complexity of endometriosis related pain","volume":"9","author":"Chiantera","year":"2017","journal-title":"J Endometr Pelvic Pain Disord"},{"key":"10.1016\/j.mehy.2020.109991_b0115","first-page":"42","article-title":"Pelvic trauma and pudendal syndrome (post-traumatic pudendal syndrome)","volume":"37","author":"Beco","year":"2018","journal-title":"Pelviperineology"},{"issue":"1","key":"10.1016\/j.mehy.2020.109991_b0120","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1471-2482-4-15","article-title":"Pudendal nerve decompression in perineology : a case series","volume":"4","author":"Beco","year":"2004","journal-title":"BMC Surg"},{"key":"10.1016\/j.mehy.2020.109991_b0125","article-title":"Breaking Through Chronic Pelvic Pain: A Holistic Approach for Relief","author":"Weiss","year":"2019"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0130","first-page":"168","article-title":"Myofascial causes of chronic pelvic pain","volume":"12","author":"Weiss","year":"2009","journal-title":"Ref Gynecol Obstet"},{"key":"10.1016\/j.mehy.2020.109991_b0135","first-page":"67","article-title":"A new method to evaluate the part of stress in pain: injection of dextrose 5% (neural prolotherapy) on acupuncture points corresponding to the stellate, coeliac and mesenteric ganglions","volume":"37","author":"Beco","year":"2018","journal-title":"A pilot study Pelviperineology"},{"issue":"1","key":"10.1016\/j.mehy.2020.109991_b0140","first-page":"60","article-title":"Obturator 'kick'\u2013how to avoid an own-goal!","volume":"85","author":"Kouriefs","year":"2003","journal-title":"Ann R Coll Surg Engl"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0145","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/00365598109179587","article-title":"Thigh adductor contraction during transurethral resection of bladder tumours: evaluation of inactive electrode placement and obturator nerve topography","volume":"15","author":"Kihl","year":"1981","journal-title":"Scand J Urol Nephrol"},{"issue":"4","key":"10.1016\/j.mehy.2020.109991_b0150","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.urology.2004.10.056","article-title":"Medial thigh pain: Neurology or urology?","volume":"65","author":"Antolak","year":"2005","journal-title":"Urology"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0155","doi-asserted-by":"crossref","first-page":"276","DOI":"10.4103\/0970-1591.82851","article-title":"Medial thigh pain: An unusual presentation of giant calculi in sigmoid neobladder","volume":"27","author":"Abrol","year":"2011","journal-title":"Indian J Urology"},{"issue":"3","key":"10.1016\/j.mehy.2020.109991_b0160","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1097\/AAP.0000000000000587","article-title":"A cadaveric study of ultrasound-guided subpectineal injectate spread around the obturator nerve and its hip articular branches","volume":"42","author":"Nielsen","year":"2017","journal-title":"Reg Anesth Pain Med"},{"issue":"3","key":"10.1016\/j.mehy.2020.109991_b0165","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/JU.0000000000000309","article-title":"Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA\/SUFU Guideline Amendment 2019","volume":"202","author":"Lightner","year":"2019","journal-title":"J Urol"},{"issue":"6","key":"10.1016\/j.mehy.2020.109991_b0170","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.1016\/S0022-5347(05)65539-5","article-title":"Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome","volume":"166","author":"Weiss","year":"2001","journal-title":"J Urol"},{"key":"10.1016\/j.mehy.2020.109991_b0175","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1159\/000115400","article-title":"Role of pudendal canal syndrome in the pathogenesis of interstitial cystitis and its treatment by pudendal canal decompression","volume":"2","author":"Shafik","year":"2008","journal-title":"Curr Urol"},{"issue":"1","key":"10.1016\/j.mehy.2020.109991_b0180","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.juro.2012.09.020","article-title":"Interstitial cystitis--is it time to look beyond the bladder? K. M. Peters J Urol 2012; 187: 381-382","volume":"189","author":"Antolak","year":"2013","journal-title":"J Urol"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0185","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.juro.2011.11.012","article-title":"Interstitial Cystitis-Is it Time to Look Beyond the Bladder?","volume":"187","author":"Peters","year":"2012","journal-title":"J Urol"},{"key":"10.1016\/j.mehy.2020.109991_b0190","first-page":"51","article-title":"Is overactive bladder in the female surgically curable by ligament repair?","volume":"70","author":"Liedl","year":"2017","journal-title":"Cent European J Urol"},{"key":"10.1016\/j.mehy.2020.109991_b0195","unstructured":"Petros P, Richardson P. TFS posterior sling improves overactive bladder, pelvic pain and abnormal emptying, even with minor prolapse. A prospective urodynamic study Pelviperineology 2010;29:52-5."},{"issue":"10","key":"10.1016\/j.mehy.2020.109991_b0200","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1093\/pm\/pnx063","article-title":"Perineural injection therapy in the management of complex regional pain syndrome: a sweet solution to pain","volume":"18","author":"Thor","year":"2017","journal-title":"Pain Med"},{"issue":"5","key":"10.1016\/j.mehy.2020.109991_b0205","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1007\/s00345-002-0298-8","article-title":"Interstitial cystitis, pelvic pain, and the relationship to myofascial pain and dysfunction: a report on four patients","volume":"20","author":"Doggweiler-Wiygul","year":"2002","journal-title":"World J Urol"},{"key":"10.1016\/j.mehy.2020.109991_b0210","doi-asserted-by":"crossref","DOI":"10.1152\/ajpregu.00838.2007","article-title":"Association of overactive bladder and stress urinary incontinence in rats with pudendal nerve ligation injury","author":"Furuta","year":"2008","journal-title":"Am J Physiol Regul Integr Comp Physiol"},{"issue":"2","key":"10.1016\/j.mehy.2020.109991_b0215","doi-asserted-by":"crossref","first-page":"186","DOI":"10.3344\/kjp.2014.27.2.186","article-title":"Chicken and egg: peripheral nerve entrapment or myofascial trigger point?","volume":"27","author":"Choi","year":"2014","journal-title":"Korean J Pain"},{"issue":"5","key":"10.1016\/j.mehy.2020.109991_b0220","first-page":"967","article-title":"Comparison on treatment effects of dextrose water, saline and lidocaine for trigger point injection","volume":"21","author":"Kim","year":"1997","journal-title":"J Korean Acad Rehab Med"},{"issue":"7","key":"10.1016\/j.mehy.2020.109991_b0225","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s00192-011-1658-y","article-title":"The association between pelvic girdle pain and pelvic floor muscle function in pregnancy","volume":"23","author":"Fitzgerald","year":"2012","journal-title":"Int Urogynecol J"},{"issue":"4 Suppl","key":"10.1016\/j.mehy.2020.109991_b0230","doi-asserted-by":"crossref","first-page":"A24","DOI":"10.1227\/01.NEU.0000335652.61676.CC","article-title":"Surgical management of obturator nerve lesions","volume":"65","author":"Kitagawa","year":"2009","journal-title":"Neurosurgery"},{"key":"10.1016\/j.mehy.2020.109991_b0235","unstructured":"Gregoire R, Oberlin S. Precis d'anatomie. Third ed. Gilbert A, Fournier L, Carnot P, Bariety M, editors. Paris: J.B. Bailliere et Fils; 1948."}],"container-title":["Medical Hypotheses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0306987720307568?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0306987720307568?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T19:25:14Z","timestamp":1759692314000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0306987720307568"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":47,"alternative-id":["S0306987720307568"],"URL":"https:\/\/doi.org\/10.1016\/j.mehy.2020.109991","relation":{},"ISSN":["0306-9877"],"issn-type":[{"value":"0306-9877","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Perineural dextrose injections in the treatment of lower urinary tract symptoms and dyspareunia induced by obturator neuralgia","name":"articletitle","label":"Article Title"},{"value":"Medical Hypotheses","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.mehy.2020.109991","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"109991"}}