Evidence and experience
What the evidence and two decades of surgical experience say about pudendal nerve decompression surgery.
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.
Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.