Trial reportBJOG : an international journal of obstetrics and gynaecology2017
Adding corticosteroids to the pudendal nerve block for pudendal neuralgia: a randomised, double-blind, controlled trial.
Trial report in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.
- [Systematic review of the effectiveness of local anaesthetics in the treatment of neuropathic pain or phantom pain].Die Anaesthesiologie · 2025Pooled it
- Adding corticosteroids to the pudendal nerve block for pudendal neuralgia: a randomised, double-blind, controlled trial.BJOG : an international journal of obstetrics and gynaecology · 2017Trial
- Pudendal Nerve Entrapment Within Alcock's Canal as a Compartment-Like Syndrome: A Systematic Review.Cureus · 2026Review
- Ultrasound-guided infiltration of the pudendal nerve: a technical approach for neuropathic pain management.Journal of ultrasound · 2026Review
- A simplified algorithm for management of CP/CPPS and associated entities: A summary table for general urologists.Current urology · 2026Review
- The Diagnosis and Management of Pudendal Neuralgia.Pain and therapy · 2026Review
- Minimally Invasive Interventional Management of Pudendal Neuralgia: A Narrative Review.Current pain and headache reports · 2026Review
- Cryoneurolysis: An Emerging Personalized Treatment Strategy for Significant Pelvic Pain.Journal of personalized medicine · 2025Review
- Efficacy and safety of drug combinations for chronic pelvic pain: a systematic review.Pain reports · 2025Review
- Clinical Phenotypes of Diabetic Peripheral Neuropathy: Implications for Phenotypic-Based Therapeutics Strategies.Diabetes & metabolism journal · 2025Review
- Pudendal Neuralgia: A Review of the Current Literature.Current pain and headache reports · 2025Review
- Article
- The impact of combined administration of ropivacaine and dexamethasone on postoperative analgesia in perianal surgery with pudendal nerve block under ultrasound guidance: a prospective randomized controlled study.Frontiers in pharmacology · 2024Article
- Bibliometric Analysis of Research Relating to Perineal Pain Reported over the Period 1981 to 2021.Journal of personalized medicine · 2023Article
- Therapy With Local Anesthetics to Treat Vulvodynia. A Pilot Study.Sexual medicine · 2022Article
- Pulsed Radiofrequency of Pudendal Nerve for Treatment in Patients with Pudendal Neuralgia. A Case Series with Long-Term Follow-Up.Pain practice : the official journal of World Institute of Pain · 2021Article
- Ultrasound-guided injections in pelvic entrapment neuropathies.Journal of ultrasonography · 2021Article
- Comparison of Ultrasound-Guided Transgluteal and Finger-Guided Transvaginal Pudendal Nerve Block Techniques: Which One is More Effective?International neurourology journal · 2019Article
- Entrapment of the posterior femoral cutaneous nerve and its inferior cluneal branches: anatomical basis of surgery for inferior cluneal neuralgia.Surgical and radiologic anatomy : SRA · 2017Article
- Review
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the effect of corticosteroids combined with local anaesthetic versus local anaesthetic alone during infiltrations of the pudendal nerve for pudendal nerve entrapment.
designRandomised, double-blind, controlled trial.
settingMulticentre study. POPULATION: 201 patients were included in the study, with a subgroup of 122 women.
methodsCT-guided pudendal nerve infiltrations were performed in the sacrospinous ligament and Alcock's canal. There were three study arms: patients in Arm A (n = 68) had local anaesthetic alone, those in Arm B (n = 66) had local anaesthetic plus corticosteroid and those in Arm C (n = 67) local anaesthetic plus corticosteroid with a large volume of normal saline.
main outcome measuresThe primary end-point was the pain intensity score at 3 months. Patients were regarded as responders (at least a 30-point improvement on a 100-point visual analogue scale of mean maximum pain over a 2-week period) or nonresponders.
resultsThree months' postinfiltration, 11.8% of patients in the local anaesthetic only arm (Arm A) were responders versus 14.3% in the local anaesthetic plus corticosteroid arms (Arms B and C). This difference was not statistically significant (P = 0.62). No statistically significant difference was observed in the female subgroup between Arm A and Arms B and C (P = 0.09). No significant difference was detected for the various pain assessment procedures, functional criteria or quality-of-life criteria.
conclusionsCorticosteroids provide no additional therapeutic benefits compared with local anaesthetic and should therefore no longer be used. TWEETABLE ABSTRACT: Steroid infiltrations do not improve the results of local anaesthetic infiltrations in pudendal neuralgia.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.