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Pudendal nerve block
Key Points
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Patient selection plays a major role in performing the block; it is challenging with obese patients.
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Ultrasound experience is required to maximize the success rate of the block.
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Vascular injection is a risk if no spread is visualized with deposition of local anesthetics under ultrasound.
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Avoid contamination as the area of injection is close to the perianal area.
Indications
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Perineal operations in both sexes.
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Hypospadias and circumcision are the most common surgeries.
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Scrotal and testicular surgeries with a supplementation of ilioinguinal blockade.
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