A Usefulness of Pudendal Nerve Block in the Dorsal Approach under EMG Monitoring: A case report. |
Lee, Young Hee , Kim, Jin Weon , Lee, Jong Min , Kang, Seok Jeong , Shim, Jae Ho |
1Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine. 2Department of Rehabilitation Medicine, Eul-Ji Hospital. |
근전도 감시하 후방적 접근법에 의한 음부신경 차단술의 유용성 증례 보고 |
이영희, 김진원, 이종민, 강석정, 심재호 |
연세대학교 원주의과대학 재활의학교실 을지대학 부속 노원을지병원 재활의학교실 |
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Abstract |
This study was designed to evaluate the usefulness of pudendal nerve block in the dorsal approach under EMG monitoring. The patient is placed in the prone position. The location of pudendal nerve is identified using the both ischial tuberosities and greater trochanter. We have performed the pudenal nerve block with 5% phenol solution, under the EMG monitoring. The patient was able to void with percussion method. There has been no impairment in urinary continence. We experienced an excellent effect of bilateral pudendal nerve block in the dorsal approach, under EMG montoring, using 5% phenol solution in detrusor sphincter dyssynergia of neurogenic bladder. |
Key Words:
Pudendal nerve block, Detrusor-sphincter dyssynergia, EMG monitoring |
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