Trans-gluteal Pudendal
Nerve Decompression
This procedure is done through an incision in the gluteals. Part of this decompression involves a transposition (moving) of the Pudendal Nerve.
There are two versions of the Trans-gluteal approach. One completely cuts both the sacrotuberous and sacrospinous ligaments then repairs the sacrotuberous ligament with a cadaveric gracilis tendon. The other partially cuts both ligaments.
These particular differences from the other two surgical approaches require specific rehabilitation and post-surgical precautions. The gluteal incision requires specific tissue mobilization to the scar. The transposition of the Pudendal Nerve requires specific neural mobilization of the nerve to regain normal nerve mobility. The approach that involves repair of the sacrotuberous ligament requires post-surgical hip flexion precautions.
Compare to the Trans-ischio-rectal (TIR) Decompression or the Trans-perineal Decompression.
Disclaimer: The Pelvic Health and Rehabilitation Center seeks to educate the community on musculoskeletal causes of pelvic pain. Specific medical advice and/or answers to your personal health questions will require a full examination by one of our physical therapists. This website is not intended to be a substitute for a medical evaluation, but rather as an educational resource.