Upcoming Procedure—Nerve Block—Advice

[Daya]

Hi all,
I'm in Australia and am booked in to have:
Pudendal Nerve Block LxR + Hyaluronic Acid + Examination Under Anaesthesia +/- Botulinum Toxin next Friday

The doctor (well respected) hasn't given me any information about whether this is CT-guided, where the injection is going in etc.

I have acute pain in my rectum, anus, vagina, perineum and worst of all in my clitoris. The only thing that gives me relief for the clitoral pain is ice. I am stuck in bed on my left side all day.

Over the last week, I cannot explain it, I just have a very strong gut feeling, I shouldn't be having this procedure. Not going into it blind.

I was diagnosed by an ob/gyn with the vulvodynia 4 years ago and with a CT-guided injection by a radiologist into the pudendal nerve with brief remission of symptoms 18 months ago. The doctor also told me that pudendal neuralgia is diagnosed differently now but my pain is so bad this far down the track that I'm at the very very end of my rope and can't believe I'm back at square one and as I don't know anything about what the operation involves I don't want to risk making anything worse. I've requested they give me a % likelihood that the botox will provide me with pain relief—the receptionist said they'd do this but have received no response.

I'm just wondering if anyone else has had this particular procedure? From the description above does it sound like it's CT-guided? And given my pain is so widespread (and also involves vagisimus) am I right to be hesitant? Any suggestions/advice most welcome.

[Violet M]

Hi Dara,

Sorry, I'm afraid I saw your message after your injection. I don't remember hearing of having a pudendal nerve block with a Botox injection. I guess my question would be if you have relief, is there any way to tell which of the medications gave you the relief.

Hope you have success with the procedure.

Violet