| Fluoroscopy-guided pudendal nerve block and pulsed radiofrequency treatment : A case report. |
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Sang Hyun Lee, Chul Joong Lee, Jin Young Lee, Tae Hyeong Kim, Woo Seok Sim, Suk Young Lee, Hee Youn Hwang |
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Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. chuljlee@skku.edu |
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| Abstract |
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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. |
| Key Words:
Fluoroscopy; Ischial spine; Pudendal nerve block; Pulsed radiofrequency treatment |
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