Open AccessTherapeutic Pudendal Nerve Blocks Using Corticosteroids Cure Pelvic Pain after Failure of Sacral Neuromodulation
Author(s) -
Antolak, Jr Stanley J.,
Antolak Christopher M.
Publication year - 2009
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2007.00366.x
Subject(s) - medicine , pudendal nerve , neuromodulation , pelvic pain , lumbosacral plexus , nerve root , surgery , anesthesia , entrapment neuropathy , hysterectomy , obturator nerve , sacral nerve stimulation , stimulation , carpal tunnel syndrome
A patient with bladder frequency and urgency associated with pelvic pain had no control of symptoms by previous bladder distention, hysterectomy, or sacral nerve root stimulator. A clinical and neurophysiological diagnosis of pudendal neuropathy was made. Treatment with a nerve protection program and pudendal nerve perineural injections of local anesthetics and corticosteroids has provided total symptomatic relief that is durable.