Pudendal Neuralgia

TENS that was applied once daily, three times per week for 8 weeks. Each treatment session was conducted for 20 minutes, two electrodes were positioned over the perineal area between anus and scrotum on the Centrum tendineum, while the other two electrodes were applied under the buttocks medially at the level of the ischial spines (medial to the ischial spines bilaterally) with the patient in comfortable supine hook-lying position with abducted hips. to prevent burn beneath the electrodes, the surface area of the electrode should be equal to or greater than 4 cm2 to minimize the heat production. In addition, to decrease the current density between electrodes, the inter-electrode distance was less than the cross sectional area of the electrode

Trans-cutaneous Electrical Nerve Stimulation

physical therapy program for 30 minutes, and 3 times per week for 8 weeks in the form of strengthening exercise, clam - shell exercise, and stretching exercise focusing on obturator internus muscle, range of motion exercise for the hip and pelvis musculature for 30 minute three times a week for consecutive 8 weeks , each type of exercise was performed for a duration of 6 seconds and repeated 10 times

Conventional physical therapy exercise

Cairo University

Impact of Adding TENS to Conventional Physical Therapy Exercise on Pain Relief Among Patients With Pudendal Neuralgia.

Impact of Adding Transcutaneous Electrical Nerve Stimulation to Conventional Physical Therapy Exercise on Pain Relief Among Patients With Pudendal Neuralgia.

Numeric Rating Scale (NRS) for pain is a one-dimensional measure of pain intensity in adults, including those with chronic pain .It is an instrument tool to measure the intensity of pain, Numerical pain rating scale consists an 11-point numeric scale with 0 representing "no pain" and 10 representing extreme pain (Worst possible pain)

A venous blood sample of 8 CC was taken at the morning, centrifuged and stored at 20ºC till analyzed, Normal cortisol level ranged from 9-25 µg/dL at morning and patients with painful conditions tended to have higher than normal SCL

It was done before and after the treatment program

we will share study protocol after 6 months from publication.

Hadaya Mosaad

Lecturer , department of physical therapy for surgery, Faculty of Physical Therapy , Cairo university.

Patients who received Ultrasound-guided pudendal nerve injections

Patients who received Finger-guided pudendal nerve injections

Neuralgia

Pudendal Nerve

Pudendal Nerve Block

Ultrasound-guided transgluteal pudendal nerve local anesthetic injections

Ultrasound-guided transgluteal pudendal nerve injection (TG-PNI)

Finger-guided transvaginal pudendal nerve local anesthetic injections

Finger-guided transvaginal pudendal nerve injection (TV-PNI)

Hande G. Aytuluk

Comparison of Ultrasound-guided Transgluteal and Finger-guided Transvaginal Pudendal Nerve Block Techniques

Comparison of Ultrasound-guided Transgluteal and Finger-guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?

Post-injection pain scores (while sitting, while/after intercourse and pain in the region from the anus to the clitoris) (ward) Pain scores were assessed with a 10-cm Visual Analogue Scale (VAS) (with 0 = no pain and 10 = the worst imaginable pain)

The comparison of the success rates of both two techniques (finger guided TV-PNI vs ultrasound guided TG-PNI) Improvement of more than 50% of the initial pain VAS scores at 6 months after the PNIs completed was considered as clinical success.

Derince Training and Research Hospital

This arm : patients will be received pudendal nerve block by dual guidance technique ( ultrasound and neurostimulation)

This arm : patients will be received pudendal nerve block by ultrasound-guided only.

Phimosis

Pudendal nerve block is the one of peripheral nerve block. Injection local anesthetic medication around this nerve can provide analgesia around perineal area.

Pudendal nerve block

Ramathibodi Hospital

Does Neurostimulation Improve Efficacy for Ultrasound-Guided Transperineal Pudendal Nerve Block In Children

Does Neurostimulation Improve Efficacy for Ultrasound-Guided Transperineal Pudendal Nerve Block In Children: A Randomized Clinical Trial

the proportion of patients who need opioids in recovery room in each group

No increasing of blood pressure or heart rate more than 10 % of baseline before incision

Postoperative analgesics including
Fentanyl : unit is microgram
paracetamol : milligrams

Time (in hours) that patients received the first analgesic medications.

use Face Legs Activity Cry Consolability scale patients will be assessed by FLACCs , 6 times
In recovery room : will assess every 15 minutes, 4 times
Time at Arriving the ward
6 hours after arriving the ward
FLACC score (score 1-10, minimum is 1, maximum is 10) FLACC score >3 , patients will be received fentanyl 0.5 micrograms/kilogram

Patients will be assessed by PPPM-SF by parents every 6 hours PPPM-SF (score 1-10, minimum is 1, maximum is 10) score > 1 , patients will be received paracetamol 15 milligrams/ kilogram

Time spent for performing pudendal nerve block ( minutes)

incidence of :
vaacular puncture
rectal puncture
internal organ injury
local anesthetic toxicity
voiding difficulty

Parental satisfaction score : scoring from 1-5 ( 1 = unsatisfied, 5=the most satisfied)

Witchaya Supaopaspan

Principal investigator

Maharaj Nakorn Chiang Mai Hospital

Robotic laparoscopic decompression of pudendal nerve entrapment.

Robotic Decompression

Robotic laparoscopic decompression of pudendal nerve entrapment.
Transperitoneal Laparoscopic Robotic assistance

Robotic laparoscopic decompression of pudendal nerve entrapment

Robotic Decompression of the Pudendal Nerve in Pudendal Neuralgia

Robotic Decompression of the Pudendal Nerve in Pudendal Neuralgia: A Randomized Controlled Trial

Collection of the maximum pain intensity on a numerical scale (EN), calculated on 10 points.
Daily collection by the patient over 1 week in real life conditions. Achievement of an average of the scores over 1 week.

University Hospital, Strasbourg, France

Liposuction of 60cc abdominal fat with its adipose derived stem cells which will be reinjected (10-20 cc) in the vestibular area after centrifugation for 3 minutes at 1000 rpm and decantation of oil and red blood cells.

Vestibulodynia

Adipose derived stem cell transplantation via lipofilling

Surgical excision

Ghent University Hospital

Lipofilling as a Treatment for Vestibulodynia

Adipose Derived Stem Cell Transplantation Via Lipofilling for Vestibulodynia: a Controlled Intervention Study

Very light pressure along specific points in the area of the vulvar vestibule and where there is tenderness, asking the patient to characterize the tenderness on a scale of 0-10, whether it's no pain or exquisite pain and then plotting that on a diagram. Most physicians will find that in women with vestibulitis, the tenderness is most pronounced just below the hymenal margin and around the orifices of the so-called "Bartholin" gland ducts.

University Hospital, Ghent

However, subjects in the lipofilling group will be able to undergo surgery (excision) 3 months after the lipofilling of this intervention did not have the requested effect.

local anesthetics (lidocaine) associated with local steroids (depo-medrol)

local anesthetics (lidocaine) associated with local steroids (depomedrol) and important volumes of physiological serum

pudendal neuralgia/neuralgia

Impact of Adding TENS to Conventional Physical Therapy Exercise on Pain Relief Among Patients With Pudendal Neuralgia.

Comparison of Ultrasound-guided Transgluteal and Finger-guided Transvaginal Pudendal Nerve Block Techniques

Does Neurostimulation Improve Efficacy for Ultrasound-Guided Transperineal Pudendal Nerve Block In Children

Robotic Decompression of the Pudendal Nerve in Pudendal Neuralgia

Lipofilling as a Treatment for Vestibulodynia

Therapeutic Effects Analysis of Pudendal Nerve Infiltrations After 3 Months, in Patients Suffering of Pudendal Neuralgia

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