Novel implantation technique for pudendal nerve peripheral nerve stimulation for treatment of chronic pelvic pain

Chronic pelvic pain (CPP) is a pervasive, difficult to treat condition affecting up to 26% of the global female and 8.2% of the global male population. Considered a form of chronic regional pain syndrome (CRPS), it is medically complex and often refractory to multimodal management. Neuromodulation h...

Full description

Saved in:
Bibliographic Details
Published inRegional anesthesia and pain medicine Vol. 48; no. 11; pp. 567 - 571
Main Authors Lam, Christopher M, Keim, Sarah A, Latif, Usman
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.11.2023
Subjects
Anesthesia
Antibiotics
Dissection
Ligaments
Neuromuscular electrical stimulation
Pain
Pain management
Patients
Pelvis
Regional anesthesia
Urology
Veins & arteries
Neuralgia
CHRONIC PAIN
TECHNOLOGY
Pain Management
Online AccessGet full text

Cover

More Information
Summary:Chronic pelvic pain (CPP) is a pervasive, difficult to treat condition affecting up to 26% of the global female and 8.2% of the global male population. Considered a form of chronic regional pain syndrome (CRPS), it is medically complex and often refractory to multimodal management. Neuromodulation has become increasingly popular in treatment of chronic neuropathic pain conditions, including CPP and CRPS. Dorsal column spinal cord stimulation and dorsal root ganglion stimulation have had some success for managing CPP meanwhile peripheral nerve stimulators (PNS) have been suggested as another viable option. However, few studies in the literature have reported successful use of PNS in treatment of CPP. Here, we detail a possible technique for pudendal PNS lead placement for management of CPP. This article describes a novel cephalad to caudad fluoroscopic guided technique for pudendal nerve PNS lead placement and implantation. A cephalad to caudal-medial fluoroscopic guided approach as described within to successfully implant a percutaneous pudendal nerve PNS for management of CPP. The pudendal nerve PNS lead placement technique noted within can be used to avoid many of the important neurovascular structures near the pelvic outlet. Further studies are needed to validate the safety and efficacy of this therapy modality but it may be a viable management option for patients with medically refractory CPP.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1098-7339
1532-8651
DOI:10.1136/rapm-2023-104551