Role of nerve block as a diagnostic tool in pudendal nerve entrapment

• DOI: 10.1111/ans.15275
• Publication Date: 2019-05-15T08:41:53Z
• Authors: Edward Dickson; Patrick Higgins; Rishabh Sehgal; Kim Gorissen; Oliver Jones; Chris Cunningham; Aisling M. Hogan; Ian Lindsey
• Keywords: Pudendal nerve; Entrapment Neuropathy; Entrapment; Lumbosacral plexus; Nerve stimulator

Pudendal nerve entrapment is a disabling condition which difficult to diagnose and treat. Nantes criteria include the requirement of positive anaesthetic pudendal block that widely used allow identification patients likely benefit from definitive but invasive release. This study aimed determine if blockade under general anaesthesia could temporarily treat in suffering chronic pelvic/perineal pain and/or organ dysfunction.This retrospective analysis prospectively maintained database examined outcomes all recipients diagnostic quaternary referral centre between 2012 2017. Primary outcome was relief perineal (transient or permanent). Secondary were demographics, patterns for procedure complication rates. Statistical performed using SPSS v 24.A total 77 included study. Mean age 57.27 ± 13.55 years. Majority females (n = 62, 80.5%). Relief experienced by 47 76 (68.1%) after initial injection. Complication rate injection 3.9% 3) cases unilateral lower limb paraesthesia. Of 37 (52.9%) referred, 20 underwent surgical decompression with 12 (60%) being successful.Pudendal safe simple can provide accurate diagnosis transient this debilitating problem. technique helps isolate suitable offers high success