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'Nerve Block Transvaginal Pudendal' (17)


Oct
2017

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.

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Jul
2013

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.

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May
2011

Describe and analyze the surgical decompression of pudendal nerve by transperineal approach using a probe with a small balloon.
Since 2009 may, 43 patients (31 females, 12 males) underwent for a pudendal nerve decompression. These patients had clinical symptoms of pudendal neuralgia.

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Sep
2006

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

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May
2006

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.

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Oct
2005

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

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Sep
2005

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.

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Oct
2003

Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor.

Int Urogynecol J Pelvic Floor Dysfunct 2003 Oct 7;14(4):269-75; discussion 275. Epub 2003 Aug 7.
M P FitzGerald, R Kotarinos
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.

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Jan
1977

[Transvaginal pudendal block in obstetrics].

Tidsskr Nor Laegeforen 1977 Jan;97(3):140-1
E M Vengene, J M Maltau

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Apr
1965


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Feb
1959

Transvaginal pudendal nerve block; a new technique.

Am J Obstet Gynecol 1959 Feb;77(2):419-23
J G LEE

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