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Spinal Pain
Anesthesia and Pain Medicine 2014;9(4):250-253.
Published online October 31, 2014.
Ultrasound-guided pudendal nerve pulsed radiofrequency in patients with refractory pudendal neuralgia: Three cases report
Seong Min Han, Dong Eon Moon, Young Hoon Kim, Hue Jung Park, Min Kyu Lee, Gye Jeol Sa
1Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Seoul St.Mary's Hospital, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Incheon St.Mary's Hospital, Incheon, Korea.
Received: 16 June 2014   • Revised: 11 July 2014   • Accepted: 31 July 2014
Pudendal neuralgia is characterized by severe sharp pain along the innervation area of pudendal nerve, which may be worsened when sitting position. Successful pudendal nerve block is crucial to the diagnosis of pudendal neuralgia. Although fluoroscopy-guided pudendal nerve blocks have traditionally been performed, recently ultrasound-guided pudendal nerve blocks were reported. For the long term effect of nerve block, pulsed radiofrequency was performed under fluoroscopic guidance in some reports. We report our successful experiences of three cases using ultrasound-guided pulsed radiofrequency.
Key Words: Perineal pain, Pudendal nerve, Pudendal neuralgia, Pulsed radiofrequency, Ultrasound guidance

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