Pudendal Nerve Block for Overactive Bladder/Urinary Urgency?

[Blitz2006]

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Anyone done this? Have a Urologist requesting...

Can't find much literature online that supports, just some case reports.

Would be doing it for non-pain reasons, reasonable?

 

[Orin]

I normally do a high volume ganglion of impar or inferior hypogastric plexus block. A S3 nerve root block is also easy and makes sense anatomically. The pudendal is easy/reasonable if there is pain in that distribution but the innervation to the viscera comes off proximal to where we block it.

 

[painfree23]

I normally do a high volume ganglion of impar or inferior hypogastric plexus block. A S3 nerve root block is also easy and makes sense anatomically. The pudendal is easy/reasonable if there is pain in that distribution but the innervation to the viscera comes off proximal to where we block it.

Do you do superior hypogastric for abdominal pain (upper pelvic) and inferior for lower pelvic ?

 

[Ligament]

Anyone done this? Have a Urologist requesting...

Can't find much literature online that supports, just some case reports.

Would be doing it for non-pain reasons, reasonable?

I see a lot of pudendal patients with urinary urgency. Very rarely does pudendal blockade affect the bladder at all. It is a low risk procedure so fine to try it, but I'd keep expectations very low.