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Pudendal nerve block to relieve pelvic and perineal pain

29 de May de 2023

The pudendal nerve block is a type of peripheral nerve block especially useful for relieving pain in the pelvic region and perineal area.

What is pudendal nerve block?

The pudendal nerve block is a minimally invasive procedure aimed at relieving pain in the pelvic and perineal region. This treatment involves the injection of a local anesthetic and, in some cases, a corticosteroid, in the region where the pudendal nerve is located. This nerve is responsible for providing sensation in the pelvic region and perineum. By blocking this nerve, pain transmission is interrupted, providing relief to patients.

In what cases is the pudendal nerve block applied?

The pudendal nerve block may be useful in different situations, such as:

  • Chronic pelvic pain due to inflammatory diseases, infections or musculoskeletal disorders.
  • Postoperative pain after surgeries in the pelvic region, such as hysterectomies, prostatectomies or hernia repairs.
  • Perineal pain, including pain associated with chronic pelvic pain syndrome, chronic non-bacterial prostatitis and vulvodynia.
  • Pain during pregnancy and childbirth, such as perineal pain and coccyx pain.

In which cases is pudendal nerve block applied?

How is the pudendal nerve block performed?

The procedure is performed in our clinic on an outpatient basis and under strict aseptic measures. The specialist uses ultrasound guidance or fluoroscopy techniques to precisely locate the pudendal nerve. A combination of local anesthetic and, in some cases, corticosteroid is then injected into the nerve region. The procedure is quick and usually takes less than 30 minutes.

Advantages of pudendal nerve block

  • Fast and effective relief of pain in the pelvic region and perineum.
  • Minimally invasive and safe procedure.
  • It can improve the quality of life of patients with chronic pelvic and perineal pain.
  • Fewer side effects compared to pharmacological treatments.
  • It can be performed on an outpatient basis, without the need for hospitalization.


The pudendal nerve block at Clínica San Román is a novel and effective treatment option for patients suffering from pain in the pelvic region and perineum. If you suffer from chronic pelvic or perineal pain, or have functional limitations due to pain, do not hesitate to contact our team of specialists to learn more about this treatment and evaluate if it is right for you.


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