Health Organization for Pudendal Education

I have been having fairly good success with a multiple injection approach. I do not believe I have PNE but rather PN. I say this because my pain does not appear to be as bad as many on this site. My life isn't what it use to be, but for most of it is not.

The multiple injection approach I had done was the following:

-Injections into my right piriformis muscle
-Injection into my ganglion impar
-Injection into the right Pudendal Canal

I only have two symptoms:

-Pain on right side of glans of penis with sometimes hypersensitivity
-Pain in my sacrum/coccyx on long drives or sitting on hard seats (but not always)

By the above you can tell I'm male. I have just read an article about having these two injections at the same time with good results:

Super hypogastric plexus ganglion impar blocks for penile pain

Does anyone know of any data that I may not have been able to find on the above combination of blocks?

Below is a quote:

"The benefit of superior hypogastric plexus blocks can be temporary for some patients, and every patient will experience a different level of relief. Some individuals will experience relief for weeks while others experience a reduction of pain for several years. It is a low risk, non-surgical treatment that, if successful the first time, tends to bring continual relief with multiple treatments and reduces the amount of oral medications needed for acceptable pain relief. It has also shown to be very helpful in conjunction with other nerve blocks, such as the ganglion impar block."

Richard, I haven't heard of superior hypogastric plexus blocks and ganglion impar blocks being given together but it makes sense to try either separately or both of them together. According to the following article, the superior hypogastric plexus provides sympathetic innervation of the external genitalia.

http://www.ncbi.nlm.nih.gov/pubmed/20949499
http://tinyurl.com/qa7yo6x

I hope this approach gives you some relief and would be interested to hear how it works for you.

Best,

Violet

I've actually found multiple pain clinics that have stated positive results. One is in Utah and the other is Arizona Pain Specialists.

Richard, what is the name of the clinic in Utah?

Arizona Pain Specialists have some well referenced articles on their website about each type of block. Here they are in case anyone is interested in reading them.

http://arizonapain.com/pain-center/pain ... ic-plexus/
http://arizonapain.com/pain-center/pain ... par-block/

Violet

Okay everyone. I had the following three injections done today:

-Right side Piriformis muscle injections in 3 spots
-Ganglion Impar Block
-Superior Hypogastric Plexus block

I will be tracking my progress and reporting back the results. As always, my two and only symptoms are coccyx pain and pain on the right side of my glans.

Wish me Luck.

Good luck,

I also have similar pain, more severe, but it was more like what you have in the beginning.

It sounds like you have caught it in time, that it good. In my opinion watch for the cremasteric reflex response.

The cremasteric is an immediate contraction of the cremaster muscle that pulls up the testis.

This was the next, not painful sympathetic motor symptom, I had was that scrotum would not relax.

After that was motor functional issues with the external anal sphincter.

I hope this never happens to you or anyone, but if I knew at that time what was going on the permanent damage might have been prevented.

Feel free to PM if I you ever have any questions.