Fluoroscopy-guided pudendal nerve block and pulsed radiofrequency treatment : A case report.
10.4097/kjae.2009.56.5.605
- Author:
Sang Hyun LEE
1
;
Chul Joong LEE
;
Jin Young LEE
;
Tae Hyeong KIM
;
Woo Seok SIM
;
Suk Young LEE
;
Hee Youn HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. chuljlee@skku.edu
- Publication Type:Case Report
- Keywords:
Fluoroscopy;
Ischial spine;
Pudendal nerve block;
Pulsed radiofrequency treatment
- MeSH:
Diagnosis, Differential;
Fluoroscopy;
Ganglion Cysts;
Humans;
Middle Aged;
Pudendal Nerve;
Pulsed Radiofrequency Treatment
- From:Korean Journal of Anesthesiology
2009;56(5):605-608
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pudendal nerve block (PNB) is performed for differential diagnosis and treatment of chronic pelvic and perineal pain. Several block methods, such as transvaginal, transperineal, computerized tomography-, ultrasound- and fluoroscopy-guided approach are currently under practice. Compared to others, a fluoroscopy-guided approach has several advantages, such as its relatively low cost, facility and ease of landmark recognition. We depicted a fluoroscopy-guided PNB technique to selectively block and elaborate a pulsed radiofrequency treatment in a 51-year-old man with chronic pelvic and perineal pain. The patient had undergone a ganglion of impar block with a limited pain relief. Thereafter, a PNB was performed and the pain was relieved significantly for 2 weeks. Further PNB with a pulsed radiofrequency treatment reduced the pain for more than 8 weeks. The pain relief sustained up to the time of this report. The fluoroscopy-guided PNB and pulsed radiofrequency treatment allowed simplicity in manipulation and precision in performing the procedures with a favorable outcome.
