[CT guided dual site infiltration in pudendal neuralgia].
OBJECTIVE
To assess the value of CT guided dual site infiltration in patients with pudendal neuralgia and determine prognostic factors of efficacy. Materials and methods. Retrospective review of 49 patients with suspected pudendal neuralgia who underwent one or multiple injections of local anesthetics and steroids. Patients were classified based on clinical and electrophysiological findings.


RESULTS
70% of patients with typical symptoms of pudendal neuralgia responded favorably to the infiltrations compared to 27% of patients with atypical symptoms (p<0.05). The mean number of infiltrations was 2.2. 84% of responding patients experienced symptomatic relief after the first infiltration. The mean duration of symptomatic relief was 3 months.


CONCLUSIONS
Infiltration is an effective treatment for patients with typical pudendal neuralgia, and should be included in the management of these patients.
Puget
J
J
Service de radiologie A et C, CHU Jean Minjoz, 3 Bd Alexandre Flemming 25000 Besancon. julien.puget.83@gmail.com
Kastler
B
B
Aubry
S
S
Laborie
L
L
Fergane
B
B
Delabrousse
E
E
Boulahdour
Z
Z
Parratte
B
B
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage*; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D005260:Female; D005835:Genitalia / Q000294:innervation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000188:drug therapy*; D009437:Neuralgia / Q000188:drug therapy*; D010147:Pain Measurement; D017699:Pelvic Pain / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D010502:Perineum / Q000294:innervation; D015641:Radiography, Interventional / Q000379:methods*; D012007:Rectum / Q000294:innervation; D012189:Retrospective Studies; D013813:Therapy, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local