Ultrasound-Guided Pulsed Radiofrequency of the Pudendal Nerve for the Treatment of Chronic Pelvic Pain with Different Etiologies: A Case Series Farklı Etiyolojilere Sahip Kronik Pelvik Ağrı Tedavisinde Ultrason Kılavuzluğunda Pudendal Sinirin Pulsed Radyofrekansı: Bir Olgu Serisi


Akkaya O. T. , Yuruk D.

Anestezi Dergisi, vol.30, no.2, pp.146-150, 2022 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 2
  • Publication Date: 2022
  • Doi Number: 10.54875/jarss.2022.25582
  • Title of Journal : Anestezi Dergisi
  • Page Numbers: pp.146-150
  • Keywords: chronic pain, pelvic pain, pudendal nerve, pudendal neuralgia, Pulsed radiofrequency treatment

Abstract

© 2022 Anestezi Dergisi. All rights reserved.We aimed to evaluate the efficacy of pulsed radiofrequency therapy (PRT) combined with pudendal nerve (PN) block for the treatment of chronic pelvic pain (CPP) with different etiologies. The data of nine patients whose CPP did not reduce with pharmacological treatment and who underwent PRT combined with a local anesthetic to the bilateral PN with ultrasound guided were analyzed retrospectively. Age, gender, CPP etiology, and duration of pain were evaluated. Response to treatment was assessed before and three months after the PRT by the Numerical Rating Scale (NRS) score and the American National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI). The median age of the nine patients was 56 years, and six were male. All the patients had been complaining of a variety of CPP etiologies for a median duration of 12 months. Three patients had interstitial cystitis, two had urinary bladder carcinoma, another two had prostatitis, and the last two had pudendal neuralgia. There was a significant decrease between the median pre-PRT and post-PRT NRS scores (9 vs 3, p=0.017). Moreover, the pre-PRT and post-PRT NIH-CPSI values were found to be statistically significantly different. There was no change in the designated scoring values between the pre-PRT and post-PRT scores in Cases number 2 and 4, whose etiologies were urinary bladder carcinoma. Pulsed radiofrequency therapy with PN block provides a reduction in pain severity and urination complaints and increases the quality of life of patients with CPP.