Therapeutic Effects Analysis of Pudendal Nerve Infiltrations After 3 Months, in Patients Suffering of Pudendal Neuralgia

NCT ID: NCT00851513

Last Updated: 2013-09-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Study Completion Date

2011-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Pudendal neuralgia is a recent identified pathology, extremely invalidating, related to chronic pelvic entrapment. Nowadays, pudendal neuralgia can be treated with:

* neuropathic pains treatment
* specific kinesitherapy
* Alcock's canal and sacrospinal ligament infiltrations under scan
* with diagnostic block
* local steroids injections
* and surgical decompression of pudendal nerve with transrectal approach.

Only surgery was validated after a randomised protocol studying surgery versus abstention, performed and published by the CHU de Nantes. Many techniques have been proposed for realization of pudendal nerve infiltrations. The results of these infiltrations have never been published, and no randomised study had ever evaluated those results, even at short-run. Very few randomized studies have validated steroids infiltrations techniques in canal syndrome neuropathies.

The primary objective of the investigators phase IV trial is to evaluate the efficacy of three different types of pudendal nerve infiltrations in Alcock's canal and sacrospinal ligament:

* group A: only local anesthetic (control arm)
* group B: local anesthetics associated with local steroids
* group C: local anesthetics associated with local steroids and important volumes of physiological serum

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Pudendal Neuralgia Canal Syndrome

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Pudendal neuralgia pudendal nerve Alcock's canal syndrome Canal syndrome neuropathic pain infiltration randomized protocol pain scales

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Group B

local anesthetics (lidocaine) associated with local steroids (depo-medrol)

Group Type EXPERIMENTAL

Lidocaine

Intervention Type DRUG

local anesthetics

Depmedrol

Intervention Type DRUG

local steroids

Group C

local anesthetics (lidocaine) associated with local steroids (depomedrol) and important volumes of physiological serum

Group Type EXPERIMENTAL

Lidocaine

Intervention Type DRUG

local anesthetics

Depmedrol

Intervention Type DRUG

local steroids

physiological serum

Intervention Type OTHER

important volumes of physiological serum

Group A

only local anesthetic (lidocaine)

Group Type ACTIVE_COMPARATOR

Lidocaine

Intervention Type DRUG

local anesthetics

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Lidocaine

local anesthetics

Intervention Type DRUG

Depmedrol

local steroids

Intervention Type DRUG

physiological serum

important volumes of physiological serum

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patient presenting the four indispensable clinical criteria for pudendal neuralgia (Nantes' criteria)
* Man or woman aged more than 18 years old
* Suffering from pudendal neuralgia since more than six months
* Without previous infiltration identical to the one proposed by the protocol
* Without previous surgery of pudendal nerve
* Without any hemorrhagic risk factor
* No contra-indication to Lidocaïne, Depo-medrol or contrast-product injections
* Pain intensity with an average \> or = 40/100 (measured by scales during the fifteen days before infiltration)

Exclusion Criteria

* Patient presenting one of the four exclusion clinical criterium for pudendal neuralgia (Nantes' criteria)
* Patient who has filled his "pain note book" during less than 5 days over the 15 days before the infiltration
* Pregnancy
* Depression (Beck scale \> 16/39)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Nantes University Hospital

OTHER

Sponsor Role lead

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Jean-Jacques LABAT

Role: PRINCIPAL_INVESTIGATOR

Nantes University Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

CH de la Côte Basque

Bayonne, , France

Site Status

Centre MARIENIA

Cambo-les-Bains, , France

Site Status

CHU Clermont-Ferrand

Clermont-Ferrand, , France

Site Status

Hospices Civils de Lyon

Lyon, , France

Site Status

CHU de Nantes

Nantes, , France

Site Status

Catherine de Sienne

Nantes, , France

Site Status

Hôpital Rothschild

Paris, , France

Site Status

Scanner Saint Hilaire

Rouen, , France

Site Status

Hôpital Charles Nicolle

Rouen, , France

Site Status

Countries

Review the countries where the study has at least one active or historical site.

France

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

BRD08/6-B

Identifier Type: -

Identifier Source: org_study_id