BLOQUEO DE NERVIO PUDENDO POR VÍA TRANSGLÚTEA, GUIADO POR TOMOGRAFÍA AXIAL COMPUTADA, EN PACIENTES CON NEURALGIA DE PUDENDO REFRACTARIA, EXPRESADA COMO DOLOR PERINEAL Y PÉLVICO CRÓNICO

Paolo Ricci, Alex Wash

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Archivos Españoles de Urología ›› 2014, Vol. 67 ›› Issue (6) : 565-571.
Case Report

BLOQUEO DE NERVIO PUDENDO POR VÍA TRANSGLÚTEA, GUIADO POR TOMOGRAFÍA AXIAL COMPUTADA, EN PACIENTES CON NEURALGIA DE PUDENDO REFRACTARIA, EXPRESADA COMO DOLOR PERINEAL Y PÉLVICO CRÓNICO

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Abstract

OBJECTIVE: To demonstrate that the deep infiltration of the pudendal nerve guided by tomography is a good treatment option for patients with refractory neuralgia.METHOD: Two cases of pudendal neuralgia are presented, both expressed mainly with pain in the perineal and gluteal areas. Both cases had changes in the skin and one with urinary symptoms. A deep trans-gluteal infiltration guided by CT scan was performed, administering bupivacaine 0.25% with 80 mg methylprednisolone.RESULTS: In women, after infiltration, there was a decrease in pain from 6 to 3. In man infiltrations were performed monthly, completing 4. He reported pain reduction from 8 to 2.CONCLUSIONS: Pudendal Neuralgia diagnosis is unknown. The most common cause is inflammation of adjacent structures to the nerve frequently caused by falling. Diagnosis is mainly clinical. Trans-gluteal infiltration guided by CT scan is an effective option in treatment.

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Pudendal Neuralgia / Pudendal nerve / Chronic Pelvic Pain / Chronic Perineal Pain / Pudendal Nerve Infiltration

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Paolo Ricci , Alex Wash. BLOQUEO DE NERVIO PUDENDO POR VÍA TRANSGLÚTEA, GUIADO POR TOMOGRAFÍA AXIAL COMPUTADA, EN PACIENTES CON NEURALGIA DE PUDENDO REFRACTARIA, EXPRESADA COMO DOLOR PERINEAL Y PÉLVICO CRÓNICO. Archivos Españoles de Urología. 2014, 67(6): 565-571

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