Therapeutic pudendal nerve blocks using corticosteroids cure pelvic pain after failure of sacral neuromodulation.
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.
Antolak
Stanley J
SJ
Center for Urologic and Pelvic Pain, Lake Elmo, Minnesota 55042, USA.
Antolak
Christopher M
CM
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000627:therapeutic use; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D017699:Pelvic Pain / Q000188:drug therapy*; D012447:Sacrum / Q000294:innervation*
D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local