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Does pudendal nerve block improve perioperative pain following OnabotulinumtoxinA injection for myofascial pelvic pain?
Eur J Obstet Gynecol Reprod Biol
January 2025
Department of Medical and Surgical Gynecology, Mayo Clinic Florida, Jacksonville, FL, USA.
Objective: OnabotulinumtoxinA (BTA) injections are useful for treatment of myofascial pelvic pain. Concurrent pudendal nerve block (PNB) has been suggested to decrease postoperative pain, as BTA does not take an immediate effect. The efficacy of PNB for this purpose has not been well elucidated.
View Article and Find Full Text PDFSpastic Pelvic Floor Syndrome Treated with Ultrasound-Guided Pudendal Nerve Block Combined with Wrist-Ankle Acupuncture: A Case Report.
Chin J Integr Med
January 2025
Department of Pain, the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, 350003, China.
The Impact of Pudendal Nerve Injection in Vaginal Surgery: A Secondary Analysis.
Urogynecology (Phila)
October 2024
From the Urology Institute, University Hospitals/ Cleveland Medical Center, Cleveland, OH.
Importance: Evidence regarding the effect of pudendal nerve blockade during vaginal surgery is conflicting. Previous studies compared pudendal nerve blockade to either normal saline placebo injection or no injection, demonstrating small or no difference in pain outcomes. Studies investigating nerve blocks at the time of vaginal surgery have not evaluated the effect of infiltration of the space around the pudendal nerve.
View Article and Find Full Text PDFImpact of Treatment of Pudendal Neuralgia on Pain: A Systematic Review and Meta-Analysis.
Int Urogynecol J
November 2024
Department of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, NY, USA.
Introduction And Hypothesis: Pudendal neuralgia is chronic pelvic pain associated with the pudendal nerve. Unfortunately, the best treatment approach is unknown. Our objective was to systematically assess interventions for pudendal neuralgia for improvement in pain.
View Article and Find Full Text PDFComparison of the Analgesic Efficacy of Ultrasound-Guided Transperineal Approach Using Pudendal Nerve Block Versus Caudal Block in Children Undergoing Urological Surgeries: A Randomized Controlled Trial.
Cureus
November 2024
Department of Pediatrics and Neonatology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.
Introduction: Caudal block is an effective regional anesthesia technique for perineal surgeries but is associated with various adverse effects. Recently, pudendal nerve block has emerged as a promising alternative for these procedures. This study assessed the effectiveness of a novel transperineal technique for ultrasound-guided pudendal nerve block and compares it with ultrasound-guided caudal block for perineal surgeries in pediatric patients.
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