Pudendal Nerve Block in Vaginal Surgery
Nerve Block, Pain, Postoperative, Pelvic Floor Disorders
About this trial
This is an interventional treatment trial for Nerve Block
Eligibility Criteria
Inclusion Criteria:
- Consenting, English speaking women between ages 18 and 80 who will undergo vaginal surgery
- Ability to read VAS Scores
- Specific vaginal procedures include, but are not limited to:
Perineoplasty Complete vaginectomy Le Forte colpocleisis Anterior repair, posterior repair, and/or enterocele repair Transvaginal mesh use Transvaginal mesh excision Sacrospinous ligament fixation Uterosacral ligament suspension Vaginal paravaginal defect repair Midurethral sling placement Sphincteroplasty Vaginal hysterectomy, with or without removal of tube(s) and/or ovary(s), with or without repair of enterocele
Exclusion Criteria:
- History of chronic pelvic pain
- Currently taking sedatives
- Liver disease
- Renal disease
- Women who did not consent for the study.
- Intraoperative concern for increased blood loss
- Unable to speak English
- Unable to understand VAS Scores
- Undergoing concomitant abdominal or laparoscopic procedures
- Allergy to bupivacaine or triamcinolone
- Planned abdominal or laparoscopic procedures.
- Patients who are ineligible for non-narcotic pain medications, such as an allergy to acetaminophen or NSAIDs
Sites / Locations
- MetroHealth Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
Pudendal block
Sham injection
9cc of 0.25% Marcaine + 1cc of 40mg/mL triamcinolone. 5cc will be injected transvaginally in the area of the pudendal nerve on each side.
10cc normal saline. 5cc will be injected transvaginally in the area of the pudendal nerve on each side.