Case perspective
How a typical case of pudendal nerve decompression surgery unfolds — from first symptom to a named diagnosis — in the practice of Prof. Dr Renaud Bollens.
Decompression surgery releases the structures that compress or tether the pudendal nerve, most commonly at the level of the sacrospinous and sacrotuberous ligaments or within Alcock's canal. The goal is to give the nerve room and allow it to recover.
Nerve recovery is slow by nature. Improvement typically develops over months rather than days, and we prepare every patient for that timeline in advance rather than afterwards.
With more than 600 pelvic procedures behind him, Dr Bollens is explicit about who benefits and who does not. Honest selection is the reason the results of specialised centres differ from occasional practice.
Every case at Pelvic Institute is assessed by the operating surgeon, with more than 600 pelvic procedures behind that judgment.