Pulsed radio frequency ablation of the pudendal nerve

Published Reports and Medical Information
Useful links to PN related articles.

Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Wed Jul 24, 2013 9:14 pm

http://www.ncbi.nlm.nih.gov/pubmed/23607041

Case Rep Urol. 2013;2013:125703. doi: 10.1155/2013/125703. Epub 2013 Mar 28.
Relief of urinary urgency, hesitancy, and male pelvic pain with pulse radiofrequency ablation of the pudendal nerve: a case presentation.
Bui C, Pangarkar S, Zeitlin SI.
Source
Department of Physical Medicine and Rehabilitation, West Los Angeles Veterans Administration/UCLA, Los Angeles, CA 90073, USA.

Abstract
Background and Aims. This report demonstrates the utility of a pudendal nerve block by pulsed radiofrequency ablation (RFA) for the treatment of male pelvic pain and urinary urgency and hesitancy. Methods. The patient is an 86-year-old gentleman with a 30-year history of urinary hesitancy and urgency. The patient also had pain in the area of the perineum but considered it a secondary issue. The patient was seen by a number of specialists, tried various medications, and underwent a variety of procedures to no avail. Therefore, the patient underwent a pulsed RFA of the pudendal nerve. Results. The patient underwent a pulsed RFA of the pudendal nerve; the patient reported marked improvement in his pelvic pain as well as a drastic reduction in his urinary urgency and hesitancy. Conclusion. Urinary urgency and hesitancy and male pelvic pain are some of the most common symptoms affecting men. Pudendal nerve block by pulsed RFA is an effective treatment of pelvic pain. It may also hold some therapeutic value in the treatment of urinary urgency and hesitancy as our case demonstrated. Further studies are needed to help clarify both the anatomy of the pelvis as well as if pudendal blocks are effective in treating more than pelvic pain.
PMID: 23607041 [PubMed] PMCID: PMC3625576
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby kathyd » Sat Jul 19, 2014 5:54 am

Hi Violet I just happened to see this oost ( a year later) durins a search I did on urinary hesitany.

Thx for posting the above abstract Sounds promising for urinary hesitany e
which Im having another bout with.
Im too meds for pain and of course infection prevention for a open fingertip fracture injury I had this week, and sure enough the hesitancy kicked in. (whether it be mind driven or physically driven, i have trouble peeing and resulitng abdominal pain and pressure.
The pain will fade soon and my surgeon agreed that advil, tylenol and narcotic pain meds may have side effects for me that my not be worth it... The other drug are necessary to prevent infection etc.
But doc didn't mention to expect any problem with those ..I have taken antis in the past without prblme as long as do yeast prevention (pro-biotic and/or difflican,so who knows

Anyway wondering if any of our female members had any positive results with the pulsed radio freq. procedure the article described,or knew of what docs do this..etc?
Thx as always for response.. would like to try it.
Thx!
kathyd
 
Posts: 678
Joined: Mon Dec 20, 2010 8:48 pm

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Sat Jul 19, 2014 10:05 pm

Kathy, you can do a search on carolynm's posts on pulsed radiofrequency ablation.

Sorry to hear about your finger. Just what you didn't need, eh?

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby jharburger » Sun Jul 24, 2016 3:53 pm

Do you or is anyone else know a urologist or pain doctor in the New York City area who is experienced doing Pulsed Radio Frequency Ablation?
jharburger
 
Posts: 1
Joined: Sun Jul 24, 2016 3:18 pm

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby kathyd » Sun Jul 31, 2016 12:04 am

Thx, Violet,
for ur post from 2014. I'm not on here all that much and must've missed several posts.
So if I didn't answer, it was because I missed it..
The finger healed fairly well thanks!!

I have an ok pain doc now, and have often thought of pulsed radio frequency..
But isn't there a block they give u?, and if u respond by getting relief from the block, they then try the procedure?
Not sure, but I remember getting a block from a former pain doc of mine, and I may have done it with the hopes of getting that procedure. All I can remember is that the doc was so rude to myself and other pain patients I met
on this site, that I moved on to someone else.
Will have to re-check with my current pain doctor to see if he does it,
but my husband ( my driver to most appmts) has become frustrated as many procedures weren't for me, and it would
take convincing to get him to try something else.
PT has helped me to a certain point,and because my condition is different from PN, I have various exercises
she and I are working on, which he prefers I focus on.. exercises that make sense, but after years of not sitting, are painful!
I sure would prefer a procedure which just zaps the painful area..
i will refer to the Carolann's posts ..and see if the procedure is something that could help my particular issue.
A long overdue thx.... and sorry for the typos. I did a horrible proofreading job on that post from 2014 ...LOL.
kathyd
 
Posts: 678
Joined: Mon Dec 20, 2010 8:48 pm

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Sun Jul 31, 2016 4:27 am

Kathy, anytime you can manage your pain successfully without procedures I think that's the way to go. PRF has mixed reviews and I think might be best reserved for people who are not able to manage their pain with conservative therapies. That's just my take on it though.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Mon Sep 05, 2016 1:39 pm

jharburger wrote:Do you or is anyone else know a urologist or pain doctor in the New York City area who is experienced doing Pulsed Radio Frequency Ablation?


You could try calling Soho Obstetrics and Gynecology (212) 941-0011. I don't think they do the procedure themselves but they see PN patients so they might be able to tell you someone who does.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Mon Sep 05, 2016 1:40 pm

On the topic of PRFA Dr. Jason Attaman has posted some good articles in his pain blog at the following link:

https://jasonattaman.com/pulsed-radiofr ... neuralgia/
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby kathyd » Wed Sep 14, 2016 12:08 am

Thx for posting this info Violet.
I wasn't aware the Soho Obygyn knew of docs who do ablation, here in the NYC area.
They have been my docs for years., tho now I have a local savvy urologist as well thankfully.

My doc at Soho/ gyn- Dr Coady- now retired- was very motivated to get me well and sent me for several procedures, but ablation was never brought up. I guess it was not available at the time.
She retired, a a couple years ago, but I have since seen her partner Dr Harris who is also very nice. She was very busy handling the large amount of pelvic pain patients, plus regular ob/gyn patients.
They just hired somebody new to replace my doc, Hopefully she has experience in pelvic pain.

Soho is a fancy hip area of NYC. so their prices are high.. and I haven't been there in a year or so, but it's good to know they are now recommending and referring patients to ablation.
Thx for the info and the other site you posted as well
kathyd
 
Posts: 678
Joined: Mon Dec 20, 2010 8:48 pm

Re: Pulsed radio frequency ablation of the pudendal nerve

Postby Violet M » Sun Sep 18, 2016 3:53 am

I don't know if they are recommending patients for ablation -- I just thought it might be possible that they know someone in New York who does it. If not, you could check with some of the pudendal neuralgia PT's in New York and see if they know anyone who does it.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
User avatar
Violet M
 
Posts: 5467
Joined: Mon Sep 06, 2010 6:04 am
Location: United States

Next

Return to LIBRARY - PUBLICATIONS & MEDICAL JOURNALS

Who is online

Users browsing this forum: No registered users and 2 guests