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The pudendal block gets its name because a local anesthetic, such as lidocaine or chloroprocaine, is injected into the pudendal canal where the pudendal nerve is located. The pudendal nerve branches off of the sacral plexus and is both a sensory and motor nerve. [2] The pudendal nerve provides sensation information (i.e. innervates) for the ...
The pudendal nerve is the main nerve of the perineum. [1]: 274 It is a mixed (motor and sensory) nerve and also conveys sympathetic autonomic fibers.It carries sensation from the external genitalia of both sexes and the skin around the anus and perineum, as well as the motor supply to various pelvic muscles, including the male or female external urethral sphincter and the external anal sphincter.
The deep branch of the perineal nerve (or muscular branches) is a nerve of the perineum. It is a branch of the perineal nerve , from the pudendal nerve . It supplies the superficial transverse perineal muscle , bulbospongiosus muscle , ischiocavernosus muscle , the bulb of penis , levator ani , and the external anal sphincter .
A pudendal nerve block can be inserted from several different anatomical locations including: transvaginal, transperitoneal, and perirectal. A reduction in pain following this injection is typically felt quickly. The most common side effect of a pudendal nerve block is injection site irritation. [52]
The perineal nerve is a branch of the pudendal nerve. [1] [2] It lies below the internal pudendal artery.It accompanies the perineal artery.It passes through the pudendal canal for around 2 or 3 cm. [1] [2] Whilst still in the canal, it divides into superficial branches and a deep branch. [1]
The pudendal canal (also called Alcock's canal) is an anatomical structure formed by the obturator fascia (fascia of the obturator internus muscle) lining the lateral wall of the ischioanal fossa. The internal pudendal artery and veins , and pudendal nerve pass through the pudendal canal, and the perineal nerve arises within it.
The posterior scrotal branches are two in number, medial and lateral. They are branches of the perineal nerve, which is itself a branch of the pudendal nerve.The pudendal nerve arises from spinal roots S2 through S4, travels through the pudendal canal on the fascia of the obturator internus muscle, and gives off the perineal nerve in the perineum.
The dorsal nerve of the penis is the deepest of three divisions of the pudendal nerve; it accompanies the internal pudendal artery along the ramus of the ischium; it then runs forward along the margin of the inferior ramus of the pubis, between the superior and inferior layers of the fascia of the urogenital diaphragm.