AI Article Synopsis

  • Pudendal neuralgia (PN) is a painful condition that affects quality of life, and different techniques for treating it, such as pudendal nerve infiltrations, are important for diagnosis and management.
  • This study compared two methods of pudendal nerve infiltration: finger-guided transvaginal (TV-PNI) and ultrasound-guided transgluteal (TG-PNI), evaluating their effectiveness on 40 patients.
  • Results showed that both techniques had high success rates for reducing pain, but there was no significant difference between their effectiveness, suggesting that the finger-guided method is a viable alternative to ultrasound guidance for treating PN.

Article Abstract

Purpose: Pudendal neuralgia (PN) is a painful and disabling condition, which reduces the quality of life as well. Pudendal nerve infiltrations are essential for the diagnosis and the management of PN. The purpose of this study was to compare the effectiveness of finger-guided transvaginal pudendal nerve infiltration (TV-PNI) technique and the ultrasound-guided transgluteal pudendal nerve infiltration (TG-PNI) technique.

Methods: Forty patients who underwent PNI for the diagnosis of PN were evaluated. Thirty-five of these 40 patients, who were diagnosed as PN, underwent a total of 70 further unilateral PNI. All the patients underwent PNI for twice after the first diagnostic PNI, 1 week apart.

Results: In the ultrasound (US)-guided TG-PNI group, the success rate was 68.8% (11 of 16) in both "pain in the sitting position" and "pain in the region from the anus to the clitoris." The success rate of blocks in the US-guided TG-PNI group was 75% (12 of 16) in terms of pain during/after intercourse. In the finger-guided TV-PNI group, the success rate was 84.2% in both "pain in the sitting position" and "pain in the region from the anus to the clitoris." The success rate of blocks in the fingerguided TV-PNI group was 89.5% (17 of 19) in terms of pain during/after intercourse. There was no statistically significant difference in the success rate of the 3 assessed conditions between the 2 groups (P>0.05).

Conclusion: The TV-PNI may be an alternative to US-guidance technique as a safe, simple, effective approach in pudendal nerve blocks.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6944786PMC
http://dx.doi.org/10.5213/inj.1938112.056DOI Listing

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