Pudendal Nerve Block for Postoperative Posterior Repair Pain Relief

• Status: Completed
• Trial end date: 2017-08-01
• Target enrollment: 0
• Participant gender: Female

Summary

Rectocoele or a posterior vaginal prolapse (bulge in the vagina) is a frequent gynaecological condition. It is repaired by repairing and reinforcing the support to the vaginal wall at the back. A small cut is made through the lining of the back wall of the vagina. The supports to the rectum are reinforced with stitches and the bulging part of the vaginal wall cut away. The wound in the vagina is then stitched up. Rectocoele repair is usually carried under a general anaesthetic with women reporting moderate to severe degrees of pain post operatively on sitting down.

A Pudendal Nerve Block (PNB) is a common analgesic (pain killing) technique often used for women who need an instrumental delivery during childbirth. It is also widely used during a range of surgical procedures (operations) as a preventive analgesia to help reducing post -operative pain. The investigators would like to see if using this technique during routine rectocele repair will help with post - op pain.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Royal Devon and Exeter NHS Foundation Trust

Criteria

Inclusion Criteria:

• Women undergoing isolated posterior vaginal wall repair under GA

• Age 20-80 yrs

• Wiling and able to provide informed consent

Exclusion Criteria:

• Women undergoing concomitant anterior repairs, vaginal hysterectomies or mesh repair

• History of chronic pelvic pain.

• Known allergy to local anaesthetic agents

• Unable/unwilling to provided informed consent