Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance

Vulvar pain is a common complaint in women during reproductive and post-reproductive years. A 70-year-old woman experienced severe intractable vulvar pain after bladder cancer surgery and adjuvant radiation therapy. We performed five fluoroscopy-guided pudendal nerve blocks. Her numeric rating scale...

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Detalles Bibliográficos
Autores principales: Yu, Ji Hyeong, Lee, Ye Ji, Kim, Jae Yoon, Lee, Woo Yong, Lim, Yun Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573758/
https://www.ncbi.nlm.nih.gov/pubmed/33101993
http://dx.doi.org/10.1016/j.eucr.2020.101282
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author Yu, Ji Hyeong
Lee, Ye Ji
Kim, Jae Yoon
Lee, Woo Yong
Lim, Yun Hee
author_facet Yu, Ji Hyeong
Lee, Ye Ji
Kim, Jae Yoon
Lee, Woo Yong
Lim, Yun Hee
author_sort Yu, Ji Hyeong
collection PubMed
description Vulvar pain is a common complaint in women during reproductive and post-reproductive years. A 70-year-old woman experienced severe intractable vulvar pain after bladder cancer surgery and adjuvant radiation therapy. We performed five fluoroscopy-guided pudendal nerve blocks. Her numeric rating scale decreased from 10 to 3, and after 5 months, her pain was controlled only with oral medication. Pudendal nerve block might stop ongoing sensitization which lead acute nociceptive vulvar pain into chronic neuropathic vulvodynia by attenuating nociceptive stimulation and inflammation.
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spelling pubmed-75737582020-10-23 Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance Yu, Ji Hyeong Lee, Ye Ji Kim, Jae Yoon Lee, Woo Yong Lim, Yun Hee Urol Case Rep Oncology Vulvar pain is a common complaint in women during reproductive and post-reproductive years. A 70-year-old woman experienced severe intractable vulvar pain after bladder cancer surgery and adjuvant radiation therapy. We performed five fluoroscopy-guided pudendal nerve blocks. Her numeric rating scale decreased from 10 to 3, and after 5 months, her pain was controlled only with oral medication. Pudendal nerve block might stop ongoing sensitization which lead acute nociceptive vulvar pain into chronic neuropathic vulvodynia by attenuating nociceptive stimulation and inflammation. Elsevier 2020-05-27 /pmc/articles/PMC7573758/ /pubmed/33101993 http://dx.doi.org/10.1016/j.eucr.2020.101282 Text en © 2020 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Oncology
Yu, Ji Hyeong
Lee, Ye Ji
Kim, Jae Yoon
Lee, Woo Yong
Lim, Yun Hee
Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title_full Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title_fullStr Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title_full_unstemmed Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title_short Treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
title_sort treatment of radiation-induced vulvar pain via pudendal nerve block under fluoroscopic guidance
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573758/
https://www.ncbi.nlm.nih.gov/pubmed/33101993
http://dx.doi.org/10.1016/j.eucr.2020.101282
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