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Rom J Anaesth Intensive Care 2017 Oct;24(2):159-162

Department of Anesthesiology and Department of Urology, Tampa General Hospital, University of South Florida Morsani College of Medicine, USA.

The pudendal nerve block (PNB) is widely used for regional anesthesia during obstetric and anorectal procedures, but its role in urologic procedures has not been thoroughly studied. While transvaginal PNB is relatively straightforward, PNB in male patients often requires imaging guidance due to difficulty appreciating anatomic landmarks. We review the PNB and relevant sonoanatomy, and describe its analgesic efficacy in three male patients undergoing urethroplasty for urethral stricture. Read More

J Obstet Gynaecol 2013 Jul;33(5):463-5

Department of Obstetrics and Gynaecology, Mid Cheshire NHS Foundation Trust, Crewe, UK. joff

Pudendal nerve blocks are a pre-requisite to forceps delivery without regional anaesthesia. Their efficacy is dependent on introducing local anaesthetic in close proximity to the pudendal nerve and allowing sufficient time for its onset of action. An audit of 57 obstetricians evaluated their clinical technique against standards using both a questionnaire and adapted model pelvis. Read More

J Gynecol Obstet Biol Reprod (Paris) 2011 May 8;40(3):225-30. Epub 2011 Apr 8.

Clinique chirurgicale de Martigues, Martigues, France.

Aim Of The Study: Describe and analyze the surgical decompression of pudendal nerve by transperineal approach using a probe with a small balloon.

Patients And Method: Since 2009 may, 43 patients (31 females, 12 males) underwent for a pudendal nerve decompression. These patients had clinical symptoms of pudendal neuralgia. Read More

Korean J Anesthesiol 2009 May;56(5):605-608

Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

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. Read More

Obstet Gynecol 2006 Sep;108(3 Pt 1):529-34

Department of Anatomy & Embryology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Objective: We investigated the clinical anatomy of the levator ani nerve and its topographical relationship with the pudendal nerve.

Methods: Ten female pelves were dissected and a pudendal nerve blockade was simulated. The course of the levator ani nerve and pudendal nerve was described quantitatively. Read More

Int J Clin Pract 2006 May;60(5):553-6

Department of Anaesthesiology and Pain Medicine, Korea University Guro Hospital, Seoul, South Korea.

Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)- or sono-guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconvenience. Read More

Obstet Gynecol 2005 Oct;106(4):782-8

Division of Urogynecology, Evanston Continence Center, and Division of Anesthesia, Northwestern University Feinberg School of Medicine, Evanston, Illinois 60201, USA.

Objective: To assess the effect of preemptive pudendal nerve blockade on pain and consumption of narcotic analgesia following transvaginal pelvic reconstructive surgery.

Methods: This was a randomized, double-blind, placebo-controlled trial. Patients undergoing transvaginal pelvic reconstructive surgery under general anesthesia were randomized to receive pudendal block with either bupivacaine 0. Read More

Anat Sci Int 2005 Sep;80(3):163-6

Ankara University, School of Medicine, Department of Anatomy, 06100 Sihhiye Ankara, Turkey.

Analgesia of the pudendal nerve is used in patients undergoing gynecologic, obstetric and penile surgery. Stimulation techniques are used to determine the functions of the nerve. In these interventions, different landmarks are used to describe the localization of this nerve. Read More

Int Urogynecol J Pelvic Floor Dysfunct 2003 Oct 7;14(4):269-75; discussion 275. Epub 2003 Aug 7.

Division of Women's Pelvic Medicine and Reconstructive Pelvic Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA.

Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Read More

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