Transperineal pudendal nerve decompression ( PND ) with opening of the fascia linking the sacro-spinal and the sacro-tuberous ligament Feasibility study and first results in perineology

Isolated: PND only ; All: PND with other surgical procedures ; SUI: stress urinary incontinence After the classical opening of the Alcock’s canal described by Shafik, the surgical procedure consists in introducing the tip of scissors under index control between the sacro-spinal and the sacro-tuberous ligaments by perforating the fascia linking these ligaments. The hole in this fascia was enlarged until a broad opening between the two ligaments (allowing the easy passage of the index in the abdomen) was obtained .