Purpose: The authors sought to evaluate indications, technical feasibility and clinical efficacy of computed tomography (CT)-guided pudendal nerve infiltration in patients with chronic anoperineal pain by reviewing the role of the CT technique in their personal experience and in the recent interventional literature. Materials and methods: Twenty-eight women, mean age 50 years, and with a diagnosis of pudendal neuralgia on the basis of clinical and electromyographic criteria were enrolled in the study. CT-guided pudendal nerve injections were performed during three consecutive sessions held 2 weeks apart. In each session, patients received two percutaneous injections: one in the ischial spine, and the other in the pudendal (Alcock's) canal. Results: One patient dropped out of the study after the first session. At clinical assessment, 24h h after treatment, 21/27 patients reported significant pain relief. At follow-up at 3, 6, 9 and 12 months, 24/27 patients reported a ≥ 20% improvement in the Quality of Life (QOL) index. Conclusions. In pudendal nerve entrapment, CT-guided perineural injection in the anatomical sites of nerve impingement is a safe and reproducible treatment with a clinical efficacy of 92% at 12 months. © 2009 Springer-Verlag Italia.

Fanucci, E., Manenti, G., Ursone, A., Fusco, N., Mylonakou, I., D'Urso, S., et al. (2009). Role of interventional radiology in pudendal neuralgia: A description of techniques and review of the literature [Ruolo della radiologia interventistica nella nevralgia del nervo pudendo: Descrizione della tecnica e revisione della letteratura]. LA RADIOLOGIA MEDICA, 114(3), 425-436 [10.1007/s11547-009-0371-0].

Role of interventional radiology in pudendal neuralgia: A description of techniques and review of the literature [Ruolo della radiologia interventistica nella nevralgia del nervo pudendo: Descrizione della tecnica e revisione della letteratura]

FANUCCI, EZIO;MANENTI, GUGLIELMO;SIMONETTI, GIOVANNI MARIA EGISTO
2009

Abstract

Purpose: The authors sought to evaluate indications, technical feasibility and clinical efficacy of computed tomography (CT)-guided pudendal nerve infiltration in patients with chronic anoperineal pain by reviewing the role of the CT technique in their personal experience and in the recent interventional literature. Materials and methods: Twenty-eight women, mean age 50 years, and with a diagnosis of pudendal neuralgia on the basis of clinical and electromyographic criteria were enrolled in the study. CT-guided pudendal nerve injections were performed during three consecutive sessions held 2 weeks apart. In each session, patients received two percutaneous injections: one in the ischial spine, and the other in the pudendal (Alcock's) canal. Results: One patient dropped out of the study after the first session. At clinical assessment, 24h h after treatment, 21/27 patients reported significant pain relief. At follow-up at 3, 6, 9 and 12 months, 24/27 patients reported a ≥ 20% improvement in the Quality of Life (QOL) index. Conclusions. In pudendal nerve entrapment, CT-guided perineural injection in the anatomical sites of nerve impingement is a safe and reproducible treatment with a clinical efficacy of 92% at 12 months. © 2009 Springer-Verlag Italia.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/36 - Diagnostica per Immagini e Radioterapia
Settore MED/50 - Scienze Tecniche Mediche Applicate
English
Con Impact Factor ISI
Alcock's canal entrapment; Computed tomography guidance; Neuralgia; Pudendal nerve block
Fanucci, E., Manenti, G., Ursone, A., Fusco, N., Mylonakou, I., D'Urso, S., et al. (2009). Role of interventional radiology in pudendal neuralgia: A description of techniques and review of the literature [Ruolo della radiologia interventistica nella nevralgia del nervo pudendo: Descrizione della tecnica e revisione della letteratura]. LA RADIOLOGIA MEDICA, 114(3), 425-436 [10.1007/s11547-009-0371-0].
Fanucci, E; Manenti, G; Ursone, A; Fusco, N; Mylonakou, I; D'Urso, S; Simonetti, Gme
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/40951
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