Pudendal Nerve Block in Vaginal Surgery

The Effect of Pudendal Nerve Block Analgesia on Postoperative Pain Control in Patients Undergoing Vaginal Surgery: A Randomized Double-blind Placebo-controlled Trial

The objective of this this randomized controlled study is to determine whether a pudendal nerve block at the time of vaginal surgery is associated with improved postoperative pain control and decrease opioid consumption compared to a sham pudendal nerve block in patients undergoing vaginal surgery.

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