keyword
https://read.qxmd.com/read/38523899/shifting-to-transperineal-prostate-biopsy-a-narrative-review
#1
REVIEW
Younsoo Chung, Sung Kyu Hong
To address the limitations and challenges associated with transrectal (TR) biopsy and to present transperineal (TP) biopsy as a viable and potentially safer alternative to TR biopsy. Prostate cancer (PCa) is a significant global health concern. The prevalence of advanced-stage prostate cancer in Asia is higher than that in the United States, emphasizing the need for effective screening and diagnosis methods. The gold standard of diagnosis is a TR biopsy. However, it has limitations due to the risk of infection and potential complications, such as injury to the rectal artery...
March 2024: Prostate International
https://read.qxmd.com/read/38462787/pudendal-nerve-blockade-for-persistent-genital-arousal-disorder-pgad-a-clinical-review-and-case-report
#2
Michael J Gyorfi, Alaa Abd-Elsayed
BACKGROUND: Persistent genital arousal disorder (PGAD) is a condition characterized by unwanted and potentially painful genital sensations or spontaneous orgasms without stimulation. We present a case of a 55-year-old woman with refractory genital arousal disorder that was treated with serial pudendal nerve blocks. CASE: RW is a 55-year-old woman with chronic pelvic pain, pudendal neuralgia, MDD, SI, GAD, CRPS, and persistent genital arousal disorder for 11 years...
March 10, 2024: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/38436741/analgesic-effect-of-local-anaesthetic-in-haemorrhoid-banding-systematic-review-and-meta-analysis
#3
REVIEW
Eleanor G R Watson, Hwa Ian Ong, Nicholas J W Shearer, Philip J Smart, Adele N Burgess, David M Proud, Helen M Mohan
PURPOSE: Rubber band ligation of haemorrhoids can be,painful and there is no consensus regarding the optimal analgesic strategy. This study aims to determine whether there is a difference in post-procedural pain in adults undergoing haemorrhoid banding who have received local anaesthetic, a pudendal nerve block or no regional or local analgesia. METHODS: MEDLINE, Embase, Google Scholar and clinical trial registries were searched for randomised trials of local anaesthetic or pudendal nerve block use in banding...
March 4, 2024: International Journal of Colorectal Disease
https://read.qxmd.com/read/38418867/hard-flaccid-syndrome-symptoms-comorbidities-and-self-reported-efficacy-and-satisfaction-of-treatments-a-cross-sectional-survey
#4
JOURNAL ARTICLE
Jenny Niedenfuehr, David M Stevens
Hard flaccid syndrome (HFS) is a poorly understood condition with no formal consensus on its definition. We aimed to advance the understanding of HFS by evaluating symptom prevalence, cause of symptom onset, comorbidities, and self-reported efficacy and satisfaction with current treatments. An online, open, 42-question survey on Qualtrics with purposive and convenience sampling methods was conducted between May 9 and June 9, 2023 on participants self-identifying as having HFS. Participants were recruited through social media platforms...
February 28, 2024: International Journal of Impotence Research
https://read.qxmd.com/read/38178768/-efficacy-and-safety-of-different-nerve-block-methods-for-the-treatment-of-pudendal-neuralgia
#5
JOURNAL ARTICLE
C Wang, J J Niu, J C Qi, Z Zhang, G J Lu, H X Wang
Objective: To identify efficacy and safety of pudendal nerve block in tubing through the third posterior sacral foramen for the treatment of pudendal neuralgia (PN). Methods: A retrospective study with 222 PN patients was conducted in the Department of Pain Management of Beijing Tsinghua Changgung Hospital from January 2020 to April 2023. These patients were divided into two groups based on their treatment methods: pudendal nerve block in tubing through the third posterior sacral foramen (observation group, n =101) and ultrasound-guided pudendal nerve block (control group, n =121)...
January 2, 2024: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://read.qxmd.com/read/38174653/use-of-pudendal-nerve-blocks-in-rubber-band-ligation-of-haemorrhoids-an-australia-wide-cross-sectional-analysis
#6
JOURNAL ARTICLE
Eleanor G R Watson, Hwa Ian Ong, David M Proud, Helen M Mohan, Rosemary J Korda
BACKGROUND: Surgeons vary in their approach to preventing pain post rubber band ligation (RBL) of haemorrhoids, with pudendal nerve blocks (PNB) being one analgesic strategy. No data exists on how commonly PNBs are used in RBL in Australia, and whether use varies by year and patient and hospital characteristics. METHODS: Aggregate data from the National Hospital Morbidity Database was obtained for all admissions for RBL in Australia from 2012 to 2021, with and without a PNB, overall and in relation to sex, age group, hospital remoteness, hospital sector, and year of procedure...
January 4, 2024: ANZ Journal of Surgery
https://read.qxmd.com/read/38161566/chronic-penile-pain-a-poorly-researched-and-managed-life-debilitating-condition
#7
Jing Huang, Nishma Shah, Rachel Bailon, Sabrina Trammel
Chronic penile pain is a complex clinical entity with limited diagnostic criteria and treatment options. Due to limited reporting of these cases, there are no clear clinical treatments and indications for when these patients present to the clinic. This case report will highlight the diagnostic challenges encountered and the subsequent management strategies employed while working up a patient with penile pain. We present a 37-year-old male with a six-year history of debilitating penile pain, urinary frequency, and urgency that is exacerbated by sexual arousal and touch...
December 2023: Curēus
https://read.qxmd.com/read/38152300/the-role-of-pudendal-nerve-block-in-hemorrhoid-surgery-a-systematic-review-and-meta-analysis-of-double-blind-randomized-controlled-trials
#8
Shijun Xia, Lidan Luo, Wenjiang Wu, Kaiyuan Lu, Tao Jiang, Yue Li
BACKGROUND: Pudendal nerve block (PNB) is a commonly used anesthesia method that has been widely used in postoperative analgesia for hemorrhoids in recent years. Therefore, we conducted a systematic review and meta-analysis of double-blind randomized controlled trials (RCTs) to analyze the effectiveness of PNB in postoperative analgesia for hemorrhoids. METHODS: Relevant data and studies published from inception until August 14, 2023, were retrieved from PubMed, Embase, and Web of Science to evaluate the beneficial effects of PNB for analgesia following hemorrhoidectomy...
2023: Frontiers in Medicine
https://read.qxmd.com/read/38037830/intravenous-dexamethasone-does-not-prolong-the-duration-of-pudendal-nerve-block-in-infants-and-children-undergoing-hypospadias-surgery-a-randomized-clinical-trial
#9
RANDOMIZED CONTROLLED TRIAL
Young-Eun Joe, Jae-Hoon Lee, Darhae Eum, Ji-Ho Kim, Jeong-Rim Lee
BACKGROUND: The administration of intravenous dexamethasone increases the duration of neuraxial block and improves the quality of analgesia. However, little is known about these effects of dexamethasone on peripheral nerve blocks in children. AIMS: In this study, we aimed to investigate the benefit of intravenous dexamethasone for enhancing the effect of pudendal block on postoperative analgesia in children who underwent hypospadias surgery. METHODS: In total, 46 children aged 6-36 months who underwent hypospadias surgery were randomly allocated to either a control group (normal saline, group C) or dexamethasone group (0...
March 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/37963332/intraoperative-monitoring-of-the-external-urethral-sphincter-reflex-a-novel-adjunct-to-bulbocavernosus-reflex-neuromonitoring-for-protecting-the-sacral-neural-pathways-responsible-for-urination-defecation-and-sexual-function
#10
JOURNAL ARTICLE
Justin W Silverstein, Jon Block, Zachary T Olmsted, Ross Green, Thomas Pieters, Kristiana Babarevech, Alicia Ballas-Williamson, Stanley A Skinner, Daniel M Sciubba, Sheng-Fu Larry Lo
PURPOSE: Intraoperative bulbocavernosus reflex neuromonitoring has been utilized to protect bowel, bladder, and sexual function, providing a continuous functional assessment of the somatic sacral nervous system during surgeries where it is at risk. Bulbocavernosus reflex data may also provide additional functional insight, including an evaluation for spinal shock, distinguishing upper versus lower motor neuron injury (conus vs. cauda syndromes) and prognosis for postoperative bowel and bladder function...
November 9, 2023: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://read.qxmd.com/read/37883755/application-of-periprostatic-nerve-block-and-pudendal-nerve-block-in-transrectal-ultrasound-guided-prostate-biopsy
#11
JOURNAL ARTICLE
Ting Liu, Shaolin Wang, Jin Song, Hong Zhu, Jingjing Zhang, Peng Zhang
OBJECTIVE: To investigate the application effects of prostate perineural block combined with pudendal nerve block under transrectal ultrasound guidance in transrectal prostate biopsy. METHODS: Ninety patients who underwent their first transrectal prostate biopsy from November 2021 to July 2022 were included in the study. The patients were divided into three groups: Group A received prostate perineural block, Group B received intrathecal anesthesia, and Group C received pudendal nerve block combined with prostate perineural block...
October 27, 2023: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/37838999/liposomal-versus-plain-bupivacaine-for-pain-control-following-vaginal-reconstruction
#12
JOURNAL ARTICLE
Stephanie Jensen, Akin S Amasyali, Mohamed Keheila, Ashley Feldkamp, Jonathan Maldonado, Hillary J Wagner, D Duane Baldwin, Andrea Staack
INTRODUCTION: Liposomal bupivacaine (LB) is a depot formulation of bupivacaine, which releases the drug over 72 hours to prolong local pain control. This retrospective study compares the effect of using LB versus plain bupivacaine on postoperative pain control, length of hospital stay and cost among patients undergoing vaginal reconstructive surgery. MATERIALS AND METHODS: Patients who underwent vaginal reconstructive surgery with levatorplasty and received an injection of 20 cc of either plain bupivacaine or LB for pudendal nerve block were included...
October 2023: Canadian Journal of Urology
https://read.qxmd.com/read/37779735/ischiorectal-approach-to-cryoablation-of-the-pudendal-nerve-using-a-handheld-device-a-report-of-two-cases
#13
Hunter Hampton, Arun Kalava
The pudendal nerve is situated deep within the pelvis and is a challenge to target for pain interventions due to the theoretical risk of incontinence with manipulation. The management of pudendal neuralgia using cryoablation is currently limited as it has historically required computed tomography (CT) guidance by interventional radiologists. Through this report, we describe a safe, reproducible, ischiorectal fossa approach to pudendal nerve cryoablation with a handheld device utilizing anatomical landmarks, nerve stimulation, and fluoroscopy...
August 2023: Curēus
https://read.qxmd.com/read/37738937/youtube-and-pudendal-neuralgia-is-it-a-good-source-of-information-for-patients
#14
JOURNAL ARTICLE
Juan Sebastián Reyes Bello, Luis Rafael Moscote-Salazar, William Andrés Florez-Perdomo, Claudia Marcela Restrepo Lugo, Amgad Hanna
OBJECTIVE: This study aims to identify the shortcomings and quality content of YouTube videos and its effectiveness as a source of patient information on pudendal neuralgia treatment. METHODS: A search was conducted on YouTube using the words "pudendal neuralgia physical therapy," "medications for pudendal neuralgia," "pudendal nerve block," "pudendal neuralgia surgery," and "alternative treatments for pudendal neuralgia." The results were analyzed based on the source, general descriptive statistics, the intended audience, and five content areas...
September 7, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/37671076/a-prospective-observational-study-analyzing-the-analgesic-efficacy-of-caudal-block-and-nerve-stimulator-guided-pudendal-nerve-block-in-children-undergoing-hypospadias-repair
#15
JOURNAL ARTICLE
Nitin Hayaran, Parul Kaushik, Sangeeta Yadav, Anga Hage
INTRODUCTION: Hypospadias repair is a common pediatric surgery. While caudal block (CB) is the most widely used procedure for analgesia, pudendal nerve block (PNB) can be utilized as an alternative. We evaluated the postoperative analgesic efficacy of CB and PNB in children undergoing hypospadias repair. METHODS: In this prospective observational study, we evaluated 101 patients who received standard general anesthesia along with CB or PNB. Postoperative pain score (Face, Legs, Activity, Cry, and Consolability {FLACC} score) along with the total number of analgesic doses and the total amount of analgesic drugs consumed within 24 hours were noted...
September 2023: Curēus
https://read.qxmd.com/read/37495713/selective-mr-neurography-guided-lumbosacral-plexus-perineural-injections-techniques-targets-and-territories
#16
REVIEW
Danoob Dalili, Amanda Isaac, Jan Fritz
The T12 to S4 spinal nerves form the lumbosacral plexus in the retroperitoneum, providing sensory and motor innervation to the pelvis and lower extremities. The lumbosacral plexus has a wide range of anatomic variations and interchange of fibers between nerve anastomoses. Neuropathies of the lumbosacral plexus cause a broad spectrum of complex pelvic and lower extremity pain syndromes, which can be challenging to diagnose and treat successfully. In their workup, selective nerve blocks are employed to test the hypothesis that a lumbosacral plexus nerve contributes to a suspected pelvic and extremity pain syndrome, whereas therapeutic perineural injections aim to alleviate pain and paresthesia symptoms...
October 2023: Skeletal Radiology
https://read.qxmd.com/read/37477720/-the-paracervical-block-the-method-and-its-pioneer
#17
REVIEW
Michael Goerig
From the 1950s to the end of the 1980s the implementation of the so-called paracervical block (PCB) belonged to the therapeutic measures for pain relief. Due to its apparent simplicity and lack of potential risks the method was performed by the obstetricians themselves. The method is especially suitable for the painful opening period during the birth process. The procedure attained worldwide popularity up to the date when potential associated risks, namely for the fetus, became evident and is nowadays regarded as obsolete...
July 21, 2023: Anaesthesiologie
https://read.qxmd.com/read/37450670/pudendal-nerve-block-with-liposomal-bupivacaine-for-sacrospinous-ligament-suspension
#18
JOURNAL ARTICLE
Dima Ezzedine, Laura Dhariwal, Erika Wasenda, Charbel Salamon, Ricardo Caraballo
IMPORTANCE: Pudendal nerve block has been frequently used as a pain management modality for vaginal prolapse surgery. However, studies investigating its efficacy and the type of anesthetic used have had conflicting results. OBJECTIVE: This study aimed to evaluate the effect of intraoperative pudendal nerve block with liposomal bupivacaine on postoperative pain after sacrospinous ligament suspension surgery. STUDY DESIGN: In this single-blinded randomized controlled trial, 83 women undergoing sacrospinous ligament suspension were randomized to receive either intraoperative pudendal nerve block with liposomal bupivacaine or no block...
July 13, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/37206530/efficacy-of-pudendal-nerve-blocks-and-ultrasound-guided-superior-hypogastric-plexus-blocks-for-the-management-of-refractory-interstitial-cystitis-a-case-series
#19
Arun Kalava, Matthew Crowley, Gina Parsonis, Lucas Wiegand
Interstitial cystitis/bladder pain syndrome (IC/BPS) is characterized by chronic pelvic, perineal, or bladder pain in addition to lower urinary tract symptoms. The etiology of this condition is not fully understood, which presents a challenge for effective therapeutic intervention. Current treatment guidelines recommend the use of multimodal pain management strategies including behavioral/non-pharmacologic, oral medications, bladder instillations, procedures, and major surgery. However, the safety and efficacy of these modalities vary, and there is currently no optimal treatment for the management of IC/BPS...
April 2023: Curēus
https://read.qxmd.com/read/37125972/pudendal-nerve-block-by-adaptively-stepwise-increasing-the-intensity-of-high-frequency-10%C3%A2-khz-biphasic-stimulation
#20
JOURNAL ARTICLE
Jianan Jian, Jicheng Wang, Bing Shen, Zhijun Shen, Khari Goosby, Joseph Scolieri, Jonathan Beckel, William C de Groat, Changfeng Tai
OBJECTIVE: The purpose of this study is to determine whether adaptively stepwise increasing the intensity of a high-frequency (10 kHz) biphasic stimulation (HFBS) can produce nerve conduction block without generating a large initial response. MATERIALS AND METHODS: In anesthetized cats, three cuff electrodes were implanted on the left pudendal nerve for stimulation or block. The urethral pressure increase induced by pudendal nerve stimulation was used to measure the pudendal nerve block induced by HFBS...
April 29, 2023: Neuromodulation: Journal of the International Neuromodulation Society
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