Pudendal: Difference between revisions

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Pudendal Nerve Block

1. Introduction

Overview of the pudendal nerve and relevance in pediatric anesthesia
Typical indications (e.g., circumcision, hypospadias, anorectal surgery, urologic procedures)
Advantages compared to caudal or dorsal penile/clitoral blocks

2. Anatomy and Related Structures

3. Techniques and Approaches

3.1 Ultrasound-Guided Techniques

3.2 Nerve Stimulator and Landmark Approaches

4. Pediatric and Clinical Applications

4.1 Pediatric Urologic Surgery

How I Do It: The pudendal nerve block for pediatric ambulatory urologic surgery

4.2 Hypospadias and Circumcision

5. Other Clinical Studies and Adult Data (Contextual)

A randomized controlled trial of pudendal nerve block for pain relief after episiotomy

6. Summary of Evidence

Comparative outcomes in pediatric vs adult data
Analgesic duration, success rates, and complications
Role of ultrasound guidance in improving safety and efficacy

7. References and Further Reading

Full citation list with PubMed/DOI links for easy reference

OA-SPA Pediatric Anesthesia Virtual Grand Rounds: Ultrasound-guided Pudendal Nerve Block for Children in the Lithotomy Position

How I Do It: The pudendal nerve block for pediatric ambulatory urologic surgery

Ultrasound-guided pudendal nerve block in children: A new technique of ultrasound-guided transperineal approach

The effectiveness of pudendal nerve block versus caudal block anesthesia for hypospadias in children

Pudendal Versus Caudal Block in Children Undergoing Hypospadias Surgery: A randomized Controlled Trial

A randomized controlled trial of pudendal nerve block for pain reliefafter episiotomy

Nerve stimulator guided pudendal nerve block versus general anesthesia for hemorrhoidectomy

Nerve stimulator guided pudendalnerve block decreases posthemorrhoidectomy pain

A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomised controlled trial

Variations in the branching of the internal pudendal artery in the ischioanal fossa

Anatomical study ofthe pudendal nerve adjacent to the sacrospinous ligament

Anatomy of the pudendal nerve and its terminal branches: a cadaver study

New, simple, ultrasound-guided infiltration of the pudendal nerve: ultrasonographic technique

Feasibility of real-time ultrasoundfor pudendal nerve block in patients with chronic perineal pain

Randomized controlled trial comparing pudendal nerve block under ultrasound and fluoroscopic guidance

Ultrasound-Guided PudendalNerve Block at the Entrance of the Pudendal (Alcock) Canal:Description of Anatomy and Clinical Technique

How I Do It: The Pudendal Nerve Block for Pediatric Ambulatory Urologic Surgery

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 {{Stub Notice}}
+== Pudendal Nerve Block ==
+=== 1. Introduction ===
+* Overview of the pudendal nerve and relevance in pediatric anesthesia
+* Typical indications (e.g., circumcision, hypospadias, anorectal surgery, urologic procedures)
+* Advantages compared to caudal or dorsal penile/clitoral blocks
+=== 2. Anatomy and Related Structures ===
+* [https://pubmed.ncbi.nlm.nih.gov/14725700/ Anatomy of the pudendal nerve and its terminal branches: a cadaver study]
+* [https://pubmed.ncbi.nlm.nih.gov/15768420/ Anatomical study of the pudendal nerve adjacent to the sacrospinous ligament]
+* [https://pubmed.ncbi.nlm.nih.gov/8638766/ Variations in the branching of the internal pudendal artery in the ischioanal fossa]
+=== 3. Techniques and Approaches ===
+==== 3.1 Ultrasound-Guided Techniques ====
+* [https://pubmed.ncbi.nlm.nih.gov/29205687/ Ultrasound-guided pudendal nerve block in children: A new technique of ultrasound-guided transperineal approach]
+* [https://pubmed.ncbi.nlm.nih.gov/11584221/ New, simple, ultrasound-guided infiltration of the pudendal nerve: ultrasonographic technique]
+* [https://pubmed.ncbi.nlm.nih.gov/18299095/ Feasibility of real-time ultrasound for pudendal nerve block in patients with chronic perineal pain]
+* [https://pubmed.ncbi.nlm.nih.gov/22430025/ Randomized controlled trial comparing pudendal nerve block under ultrasound and fluoroscopic guidance]
+* [https://pubmed.ncbi.nlm.nih.gov/26780419/ Ultrasound-Guided Pudendal Nerve Block at the Entrance of the Pudendal (Alcock) Canal: Description of Anatomy and Clinical Technique]
+* [https://player.vimeo.com/video/464216443 OA-SPA Pediatric Anesthesia Virtual Grand Rounds: Ultrasound-guided Pudendal Nerve Block for Children in the Lithotomy Position]
+==== 3.2 Nerve Stimulator and Landmark Approaches ====
+* [https://link.springer.com/article/10.1007/BF03021848 Nerve stimulator guided pudendal nerve block versus general anesthesia for hemorrhoidectomy]
+* [https://pubmed.ncbi.nlm.nih.gov/15625258/ Nerve stimulator guided pudendal nerve block decreases posthemorrhoidectomy pain]
+=== 4. Pediatric and Clinical Applications ===
+==== 4.1 Pediatric Urologic Surgery ====
+* [https://www.canjurol.com/html/free-articles/Cdn_JU28_I2_19_FREE_DrOkoro.pdf How I Do It: The pudendal nerve block for pediatric ambulatory urologic surgery]
+==== 4.2 Hypospadias and Circumcision ====
+* [https://pubmed.ncbi.nlm.nih.gov/24257391/ The effectiveness of pudendal nerve block versus caudal block anesthesia for hypospadias in children]
+* [https://rapm.bmj.com/content/41/5/610 Pudendal Versus Caudal Block in Children Undergoing Hypospadias Surgery: A Randomized Controlled Trial]
+* [https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2011.06753.x A comparison of pudendal block vs dorsal penile nerve block for circumcision in children: a randomized controlled trial]
+=== 5. Other Clinical Studies and Adult Data (Contextual) ===
+* [https://pubmed.ncbi.nlm.nih.gov/18633043/ A randomized controlled trial of pudendal nerve block for pain relief after episiotomy]
+=== 6. Summary of Evidence ===
+* Comparative outcomes in pediatric vs adult data
+* Analgesic duration, success rates, and complications
+* Role of ultrasound guidance in improving safety and efficacy
+=== 7. References and Further Reading ===
+* Full citation list with PubMed/DOI links for easy reference
 [https://player.vimeo.com/video/464216443 OA-SPA Pediatric Anesthesia Virtual Grand Rounds: Ultrasound-guided Pudendal Nerve Block for Children in the Lithotomy Position]