KMID : 0356920090560050605
|
|
Korean Journal of Anesthesiology 2009 Volume.56 No. 5 p.605 ~ p.608
|
|
Fluoroscopy-guided pudendal nerve block and pulsed radiofrequency treatment
|
|
Lee Sang-Hyun
Lee Chul-Joong Lee Jin-Young Kim Tae-Hyeong Sim Woo-Seok Lee Suk-Young Hwang Hee-Youn
|
|
Abstract
|
|
|
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. We depicted a fluoroscopy-guided PNB technique to selectively block and elaborate a pulsed radiofrequency treatment in a 51-year-old man with chronic pelvic and perineal pain. The patient had undergone a ganglion of impar block with a limited pain relief. Thereafter, a PNB was performed and the pain was relieved significantly for 2 weeks. Further PNB with a pulsed radiofrequency treatment reduced the pain for more than 8 weeks. The pain relief sustained up to the time of this report. The fluoroscopy-guided PNB and pulsed radiofrequency treatment allowed simplicity in manipulation and precision in performing the procedures with a favorable outcome.
|
|
KEYWORD
|
|
Fluoroscopy, Ischial spine, Pudendal nerve block, Pulsed radiofrequency treatment
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|