InFiltracióN Del Nervio Pudendo Guiada Por TomografíA Axial Computada, Por VíA TransglúTea: Terapia Frente Al Dolor Ocasionado Por Neuralgia Del Nervio Pudendo

Abstract

Background: The pudendal neuralgia infrequently is suspected and diagnosed. Therefore the patients who suffer it consult manifold times before arriving at a definitive diagnosis. Objective: To review the security and effectiveness of the pudendal nerve infiltration in the pudendal neuralgia treatment. Method: Prospective study of five patients under entrapment pudendal nerve syndrome diagnosis. The media age was 45 years old. All patients must have 2 greater criteria or 1 greater criteria associate to 2 smaller criteria. The pain must have an evolution of at least 6 months. They must not have antecedent of infiltration or surgery like treatment of this syndrome. A questionnaire of entrapment pudendal nerve syndrome was applied. The infiltration was with corticoids and anesthetic guided by CT scan. The patients classified their pain with a subjective scale; in which 0 is the pain absence and 10 is the maximum pain. The pain was compared before and after infiltration. Results: Complication did not appear during the infiltration procedure. In one patient an asymmetry in the spine corresponding to the side of pain was observed. All patients diminished the pain after the infiltration. All indicated to be in agreement with the results. Conclusion: The pudendal nerve infiltration guided by CT scan is safe and effective technique in the treatment or diminish of the pudendal neuralgia. Only the follow-up will allow demonstrating the good results, or the necessity to repeat the infiltration, or the necessity of decompression surgery.