{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:06:34Z","timestamp":1789977994869,"version":"4.0.1"},"reference-count":7,"publisher":"Korean Society of Obstetrics and Gynecology","issue":"5","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["ogscience.org"],"crossmark-restriction":true},"short-container-title":["Obstet Gynecol Sci"],"published-print":{"date-parts":[[2026,9,15]]},"abstract":"<jats:p>Objective Pudendal nerve entrapment may occur at multiple sites along the course of the nerve. The Nantes criteria have been proposed for diagnosing pudendal nerve entrapment syndrome. However, it is clinically possible to discriminate pudendal nerve entrapment at the level of the sacrospinous ligament from Alcock\u2019s canal.Methods A step-by-step description of the surgical technique is provided based on video images.Results A 38-year-old woman presented with sitting pain. She experienced pain from the clitoris to the anus on the left side for 2 years. Her pain score was 8\/10 according to the visual analog scale. She experienced pain in the left sacrospinous ligament on palpation and showed Tinel\u2019s sign (+). The left pudendal nerve block relieved the pain for approximately 2 hours. Pudendal nerve entrapment was diagnosed based on the Nantes criteria. The pain was refractory to conservative treatment. A laparoscopic pudendal nerve release was planned. The surgery was completed uneventfully. After 1 month, her score decreased to 3\/10. The Nantes criteria, which have been proposed for diagnosing pudendal nerve entrapment syndrome, were primarily developed to diagnose entrapment at the level of Alcock\u2019s canal and\/or at the interligamentous plane.Conclusion It is clinically difficult to discriminate pudendal nerve entrapment at the level of the sacrospinous ligament from Alcock\u2019s canal. Therefore, if a decision is made to perform laparoscopic pudendal nerve release, combined decompression at both sites may be considered at the sacrospinous ligament and Alcock\u2019s canal if no obvious cause is identified pre-and intraoperatively.<\/jats:p>","DOI":"10.5468\/ogs.25396","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:00:10Z","timestamp":1787212810000},"page":"371-374","update-policy":"https:\/\/doi.org\/10.5468\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pudendal nerve entrapment at the level of sacrospinous ligament or Alcock\u2019s canal; laparoscopic management"],"prefix":"10.5468","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2355-3372","authenticated-orcid":true,"given":"Baris","family":"Mulayim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Private Clinic, Antalya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sema","family":"Mulayim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Vitale Private Obstetrics & Gynecology Hospital, Antalya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3425","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2009.11.003","type":"journal-article"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.11.096","type":"journal-article"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-90319-y","type":"journal-article"},{"key":"ref4","volume-title":"","author":"Kaur","year":"c2020","type":"web-resource"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-08092-4","type":"journal-article"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20505","type":"journal-article"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-024-05919-9","type":"journal-article"}],"container-title":["Obstetrics &amp; Gynecology Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.ogscience.org\/upload\/pdf\/ogs-25396.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ogscience.org\/journal\/view.php?doi=10.5468\/ogs.25396","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ogscience.org\/upload\/pdf\/ogs-25396.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T07:38:04Z","timestamp":1789976284000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ogscience.org\/journal\/view.php?doi=10.5468\/ogs.25396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,15]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.5468\/ogs.25396","relation":{},"ISSN":["2287-8580"],"issn-type":[{"value":"2287-8580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,15]]},"assertion":[{"value":"2025-12-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}