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After transobturator injections are performed on each side, bilateral pudendal nerve blocks will be performed transvaginally as described in the literature. The solution injected at all 4 of the above injections sites will consist of 20 milliliters 0.9% saline (normal saline).
Pudendal Nerve & Neuralgia. Physical therapy has proven to be a very successful treatment option for pudendal neuralgia, pudendal nerve irritation and pudendal nerve entrapment. The pudendal nerve originates from the lumbo-sacral plexus (L4-S4). It consists of both sensory fibers (80%) and motor fibers (20%). The pudendal nerve branches into 3 smaller nerves: Inferior rectal nerve: supplies the anal canal, peri-anal skin, rectum, and external anal sphincter.