Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance

Yu, Ji Hyeong; Lee, Ye Ji; Kim, Jae Yoon; Lee, Woo Yong; Lim, Yun Hee

doi:10.1016/j.eucr.2020.101282

Cited by 1 publication

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Yu et al described a patient with severe intractable vulvar pain after bladder cancer surgery and adjuvant radiation therapy, who received five fluoroscopy-guided pudendal nerve blocks, which cumulatively resulted in a reduction in her pain. From an initial numeric rating scale of ten, the patient's pain became a three, and the patient was able to further manage her pain with oral medication [21]. Similarly, Lee et al described a patient with chronic pelvic and perineal pain who underwent a fluoroscopy-guided pudendal nerve block and experienced pain reduction from an initial numeric rating of nine to six, which lasted for two weeks [22].…”

Section: Nerve Blockmentioning

confidence: 99%

“…To date, there have been only two case reports in the literature about the therapeutic effectiveness of fluoroscopy-guided transgluteal pudendal nerve blocks [21,22]. Yu et al described a patient with severe intractable vulvar pain after bladder cancer surgery and adjuvant radiation therapy, who received five fluoroscopy-guided pudendal nerve blocks, which cumulatively resulted in a reduction in her pain.…”

Section: Nerve Blockmentioning

confidence: 99%

See 1 more Smart Citation

Fluoroscopy-Guided Transgluteal Pudendal Nerve Block for Pudendal Neuralgia: A Retrospective Case Series

Levin,

Van Florcke,

Schmitt

et al. 2024

JCM

View full text Add to dashboard Cite

Background/Objective: Pudendal neuralgia is a distressing condition that presents with pain in the perineum. While a positive anesthetic pudendal nerve block is one of the essential criteria for diagnosing this condition, this block can also provide a therapeutic effect for those afflicted with pudendal neuralgia. There are multiple ways in which a pudendal nerve block can be performed. The objective of this study is to share our results and follow-up of fluoroscopy-guided transgluteal pudendal nerve blocks. Methods: This is a retrospective case series. Included were 101 patients who met four out of the five Nantes criteria (pain in the anatomical territory of the pudendal nerve, pain worsened by sitting, pain that does not wake the patient up at night, and no objective sensory loss on clinical examination) who did not respond to conservative treatment and subsequently underwent a fluoroscopy-guided transgluteal pudendal nerve block. Therapeutic success was defined as a 30% or greater reduction in pain. Success rates were calculated, and the duration over which that success was sustained was recorded. Results: For achieving at least 30% relief of pain, using worst-case analysis, the success rate at two weeks was 49.4% (95% CI: 38.5%, 60.3%). In addition to pain relief, patients experienced other therapeutic benefits, such as reductions in medication use and improvements in activities of daily living. Conclusions: Fluoroscopy-guided transgluteal pudendal nerve block appears to be effective in patients who have pudendal neuralgia that is resistant to conservative therapy, with good short-term success.

show abstract

Section: Nerve Blockmentioning

confidence: 99%

Section: Nerve Blockmentioning

confidence: 99%