Abstract

Introduction: The chronic pain syndrome is a serious disease that is recently recognized. For treating it a number of methods have been developed. This is a case of using a pudendal nerve block for treating chronic pain after Bartholin’s cyst removal.

Case: This is the case of a 42-year-old suffering from chronic pain syndrome after Bartholin’s cyst removal 7 months ago. The patients attempted treatment via non-steroid anti-inflammatory drugs and opioids. After unsuccessful treatment a pudendal nerve block was performed with dexamethasone and ropivacaine was performed. The follow-up continued for a year and no pain was detected.

Discussion: An important part of diagnosing the chronic pain syndrome is the assessment of the pain levels and symptoms that the patient displays. If the disease is recognized, a treatment process is to begin with a number of medications such as non-steroid anti-inflammatory drugs, opioids, topical analgesics and in some cases even antiepileptic drugs and adjuvants. Other methods include peripheral nerve blocks. They are an effective method for chronic pain treatment.

In cases of pudendal neuralgia, a peripheral pudendal nerve block is an advantageous treatment.

Conclusion: Chronic pain is a complex problem and must be treated with extreme care. In this case the pudendal nerve block appears as an effective and potent method for treating chronic pain syndrome after pudendal neuralgia.

Keywords: Pudendal Neuralgia; Chronic Pain Syndrome; Vaginal Surgery

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Citation

Citation: Ilia Mihaylov., et al. “A Case of Treating Chronic Pain Syndrome After Vaginal Surgery with a Pudendal Nerve Block - A Case Report". Acta Scientific Clinical Case Reports 2.11 (2021): 39-42.

Copyright

Copyright: © 2021 Ilia Mihaylov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.