Publications of Jacques BECO
Bookmark and Share    
Full Text
See detailPerineural dextrose injections in the treatment of lower urinary tract symptoms and dyspareunia induced by obturator neuralgia.
BECO, Jacques ULiege; Mouchel, Jack

in Medical Hypotheses (2020), 144

Obturator neuralgia is commonly diagnosed and treated in orthopedics. It produces groin pain, sensory alteration in the medial thigh (dysesthesia, sensory loss, or pain), adductor muscle weakness and pain ... [more ▼]

Obturator neuralgia is commonly diagnosed and treated in orthopedics. It produces groin pain, sensory alteration in the medial thigh (dysesthesia, sensory loss, or pain), adductor muscle weakness and pain/restriction of hip movements. Basically, the clinical diagnosis of obturator neuralgia is made by producing pain during internal rotation of the hip against resistance ("obturator sign") or by extension and lateral leg movements. We postulate obturator neuralgia can induce lower urinary tract symptoms and dyspareunia and be diagnosed by using three clinical signs characterizing neuralgia everywhere on the body: painful nerve trunk (at the entrance of the obturator canal; by vaginal or rectal examination), abnormal sensibility and painful skin rolling test in its cutaneous innervation territory (inferomedial skin of the thigh). To support our assumptions, three female patients with longstanding lower urinary tract symptoms and/or dyspareunia and a clinical examination suggestive of obturator neuralgia (three clinical signs positive) were treated by perineural injections of dextrose 5% in sterile water (D5W). The three patients were clinically improved or cured after the treatment with two of them being cured after a single injection. While waiting for confirmation of these findings by randomized controlled trials, we suggest that obturator neuralgia should be sought in every patient with lower urinary tract symptoms and/or dyspareunia and that obturator perineural D5W injections be tried to relieve these patients. [less ▲]

Detailed reference viewed: 56 (3 ULiège)
Full Text
See detailA new method to evaluate the part of stress in pain: injection of dextrose 5% (neural prolotherapy) on acupuncture points corresonponding to stellate, coeliac and mesenteric ganglions. A pilot study
BECO, Jacques ULiege; Mouchel, Jack; SEIDEL, Laurence ULiege et al

in Pelviperineology: Multidisciplinary Pelvic Floor Journal (2018), 37

In neuralgia (neuropathic pain), the skin rolling test is painful (allodynia to pinch) but when painful everywhere on the body (polyneuralgia) it often indicates that the patient is in a stress state, in ... [more ▼]

In neuralgia (neuropathic pain), the skin rolling test is painful (allodynia to pinch) but when painful everywhere on the body (polyneuralgia) it often indicates that the patient is in a stress state, in a fight or flight situation. Thus, when starting a treatment, it is important to differentiate between these patients and those who have perineal pain only. The aim of this study was to evaluate the effect on pain and stress of a neural prolotherapy treatment (dextrose 5% injections) at seven acupuncture points linked with orthosympathetic ganglia. The studied population comprised 55 patients treated in two private clinical settings (authors 1 and 2). The short-term effect on pain was studied by comparing the pain induced by the arm skin rolling test before and 15 minutes after injections. To evaluate the long term effect on pain, the average level of body pain during the two weeks preceding the treatment was compared with that following treatment. The World Health Organization (WHO) Five Well-Being Index was used to evaluate the patient’s level of stress before and two weeks after injections. Fifteen minutes after dextrose injections, pain induced by the skin rolling test at the arm was decreased (-3.0 ± 1.6; p<0.0001). Two weeks after treatment, the global body pain score was significantly reduced (-2.0 ± 2.4; p<0.0001) and the total WHO score increased (+21.0 ± 20.5; p<0.0001). Treatment of polyneuralgic patients with neural prolotherapy of seven acupuncture points significantly improves well-being sensation and reduces pain. [less ▲]

Detailed reference viewed: 209 (5 ULiège)
Full Text
See detailPelvic trauma and pudendal syndrome (post-traumatic pudendal syndrome)
BECO, Jacques ULiege; ANTOLAK, Stanley; SEIDEL, Laurence ULiege et al

in Pelviperineology: Multidisciplinary Pelvic Floor Journal (2018)

The pudendal syndrome can result from pelvic trauma but the link is difficult to prove. The study was intended to disentangle potentially linking elements of the post-traumatic pudendal syndrome, in ... [more ▼]

The pudendal syndrome can result from pelvic trauma but the link is difficult to prove. The study was intended to disentangle potentially linking elements of the post-traumatic pudendal syndrome, in particular perineodynia (perineal pain), one of the salient symptoms of the pudendal syndrome. Two case reports were used to illustrate the point. The study was based on 394 female patients of whom 216 (54.8%) had a history of pelvic trauma. Patients were further classified into mutually exclusive groups according to presence/absence of perineodynia and, for those with pelvic trauma, according to latency of pain appearance (pain before trauma, early onset, or late onset). Urge urinary incontinence, cystalgia, anal incontinence and proctalgia fugax were found statistically more frequent in the pelvic trauma group. Perineodynia visual analog score, NHI-CPSI score and Wexner’s score were also significantly greater in traumatic patients. The three pudendal syndrome clinical signs were significantly more present in pelvic trauma patients than in non-trauma subjects. In the three post-traumatic perineodynia groups with different latency, only minor significant symptoms frequency differences were observed but importantly urge incontinence, cystalgia, anal incontinence and proctalgia fugax remained more frequent than in the non-trauma perineodynia group for similar pain scores. Post-traumatic pudendal syndrome is a reality. Perineodynia, urge incontinence, anal incontinence, proctalgia fugax and cystalgia are the most frequently symptoms encountered. These findings recommend performing a detailed history search for any symptom of the pudendal syndrome and a comprehensive clinical examination including its three clinical signs after any significant pelvic trauma. [less ▲]

Detailed reference viewed: 79 (6 ULiège)
Full Text
See detailNormative values of skin temperature and thermal sensory thresholds in the pudendal nerve territory.
BECO, Jacques ULiege; SEIDEL, Laurence ULiege; Albert, Adelin ULiege

in Neurourology and Urodynamics (2015), 34(6), 571-7

AIMS: The aim of this study was to define normative values of skin temperature and thermal sensory threshold in the pudendal nerve territory. METHODS: Warm and cold detection thresholds (using the method ... [more ▼]

AIMS: The aim of this study was to define normative values of skin temperature and thermal sensory threshold in the pudendal nerve territory. METHODS: Warm and cold detection thresholds (using the method of limits) and skin temperature were measured in a group of 41 presumably healthy female volunteers aged 41 years (range: 23-66 years) at left thenar eminence and in the pudendal nerve territory. Outlying data were discarded and 95% normative values were derived assuming Normal distributions. RESULTS: Room temperature averaged 24.3 +/- 1.1 degrees . Skin temperature and cold detection threshold value were greater anteriorly (clitoris, labia) than posteriorly (para-anal). Para-anal skin temperature and cold detection threshold value were also significantly lower on the right side than on the left side. The warm detection threshold was significantly lower at the clitoris level than at left and right labia. A significant positive effect of skin temperature on cold and warm detection thresholds values was noted especially at thenar and para-anal levels. Age had no effect on skin temperature but warm detection thresholds at clitoris were higher in older subjects. The only qualitative abnormalities observed were after-sensation (4.9%) and habituation (2.8%). Allodynia, dysesthesia, radiation, and dyslocalization were not observed. Two-sided normative values were determined for skin temperature, vertical, and horizontal differences, while one-sided values were derived for cold and warm detection thresholds as well as for their difference. CONCLUSIONS: Normative values for perineal skin temperature and thermal detection thresholds can be used as an alternative non-invasive way to evaluate pudendal neuropathy. [less ▲]

Detailed reference viewed: 24 (2 ULiège)
See detailL'acte sexuel féminin: Son intégration dans la conception anatomo-physiologique du plancher pelvien.
Mouchel, Jean; Beco, Jacques ULiege; Bonnet, Pierre ULiege et al

in Tournaire, M.; Philippe, H. J. (Eds.) Mise à jour en Gynécologie-Obstétrique 1996 (1996)

Detailed reference viewed: 107 (5 ULiège)