Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?
Purpose Pudendal neuralgia (PN) is a painful and disabling condition, which reduces the quality of life as well. Pudendal nerve infiltrations are essential for the diagnosis and the management of PN. The purpose of this study was to compare the effectiveness of finger-guided transvaginal pudendal ne...
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| Format: | Article |
| Language: | English |
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Korean Continence Society
2019-12-01
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| Series: | International Neurourology Journal |
| Subjects: | |
| Online Access: | http://www.einj.org/upload/pdf/inj-1938112-056.pdf |
| _version_ | 1818304847222407168 |
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| author | Ahmet Kale Taner Usta Gulfem Basol Isa Cam Melike Yavuz Hande G. Aytuluk |
| author_facet | Ahmet Kale Taner Usta Gulfem Basol Isa Cam Melike Yavuz Hande G. Aytuluk |
| author_sort | Ahmet Kale |
| collection | DOAJ |
| description | Purpose Pudendal neuralgia (PN) is a painful and disabling condition, which reduces the quality of life as well. Pudendal nerve infiltrations are essential for the diagnosis and the management of PN. The purpose of this study was to compare the effectiveness of finger-guided transvaginal pudendal nerve infiltration (TV-PNI) technique and the ultrasound-guided transgluteal pudendal nerve infiltration (TG-PNI) technique. Methods Forty patients who underwent PNI for the diagnosis of PN were evaluated. Thirty-five of these 40 patients, who were diagnosed as PN, underwent a total of 70 further unilateral PNI. All the patients underwent PNI for twice after the first diagnostic PNI, 1 week apart. Results In the ultrasound (US)-guided TG-PNI group, the success rate was 68.8% (11 of 16) in both “pain in the sitting position” and “pain in the region from the anus to the clitoris.” The success rate of blocks in the US-guided TG-PNI group was 75% (12 of 16) in terms of pain during/after intercourse. In the finger-guided TV-PNI group, the success rate was 84.2% in both “pain in the sitting position” and “pain in the region from the anus to the clitoris.” The success rate of blocks in the fingerguided TV-PNI group was 89.5% (17 of 19) in terms of pain during/after intercourse. There was no statistically significant difference in the success rate of the 3 assessed conditions between the 2 groups (P>0.05). Conclusions The TV-PNI may be an alternative to US-guidance technique as a safe, simple, effective approach in pudendal nerve blocks. |
| first_indexed | 2024-12-13T06:17:12Z |
| format | Article |
| id | doaj.art-a5aab0ddd3fa46b79ef81bab9fd17a5c |
| institution | Directory Open Access Journal |
| issn | 2093-4777 2093-6931 |
| language | English |
| last_indexed | 2024-12-13T06:17:12Z |
| publishDate | 2019-12-01 |
| publisher | Korean Continence Society |
| record_format | Article |
| series | International Neurourology Journal |
| spelling | doaj.art-a5aab0ddd3fa46b79ef81bab9fd17a5c2022-12-21T23:56:57ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312019-12-0123431032010.5213/inj.1938112.056834Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?Ahmet Kale0Taner Usta1Gulfem Basol2Isa Cam3Melike Yavuz4Hande G. Aytuluk5 University of Health Sciences, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey Department of Obstetrics and Gynecology, Acibadem University, Altunizade Hospital, Istanbul, Turkey University of Health Sciences, Dr. Lutfi Kirdar Kartal Education and Research Hospital, Istanbul, Turkey Department of Radiology, Kocaeli University School of Medicine, Kocaeli, Turkey Department of Public Health, Bahcesehir University School of Medicine, Istanbul, Turkey Department of Anesthesiology and Reanimation, Derince Training and Research Hospital, Kocaeli, TurkeyPurpose Pudendal neuralgia (PN) is a painful and disabling condition, which reduces the quality of life as well. Pudendal nerve infiltrations are essential for the diagnosis and the management of PN. The purpose of this study was to compare the effectiveness of finger-guided transvaginal pudendal nerve infiltration (TV-PNI) technique and the ultrasound-guided transgluteal pudendal nerve infiltration (TG-PNI) technique. Methods Forty patients who underwent PNI for the diagnosis of PN were evaluated. Thirty-five of these 40 patients, who were diagnosed as PN, underwent a total of 70 further unilateral PNI. All the patients underwent PNI for twice after the first diagnostic PNI, 1 week apart. Results In the ultrasound (US)-guided TG-PNI group, the success rate was 68.8% (11 of 16) in both “pain in the sitting position” and “pain in the region from the anus to the clitoris.” The success rate of blocks in the US-guided TG-PNI group was 75% (12 of 16) in terms of pain during/after intercourse. In the finger-guided TV-PNI group, the success rate was 84.2% in both “pain in the sitting position” and “pain in the region from the anus to the clitoris.” The success rate of blocks in the fingerguided TV-PNI group was 89.5% (17 of 19) in terms of pain during/after intercourse. There was no statistically significant difference in the success rate of the 3 assessed conditions between the 2 groups (P>0.05). Conclusions The TV-PNI may be an alternative to US-guidance technique as a safe, simple, effective approach in pudendal nerve blocks.http://www.einj.org/upload/pdf/inj-1938112-056.pdfanesthesia, obstetricalultrasonography, interventionalneuralgianerve blockpelvic painpudendal nerve |
| spellingShingle | Ahmet Kale Taner Usta Gulfem Basol Isa Cam Melike Yavuz Hande G. Aytuluk Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? International Neurourology Journal anesthesia, obstetrical ultrasonography, interventional neuralgia nerve block pelvic pain pudendal nerve |
| title | Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? |
| title_full | Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? |
| title_fullStr | Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? |
| title_full_unstemmed | Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? |
| title_short | Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective? |
| title_sort | comparison of ultrasound guided transgluteal and finger guided transvaginal pudendal nerve block techniques which one is more effective |
| topic | anesthesia, obstetrical ultrasonography, interventional neuralgia nerve block pelvic pain pudendal nerve |
| url | http://www.einj.org/upload/pdf/inj-1938112-056.pdf |
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