Repeated Pudendal Nerve Block and Physiotherapy for Prevention of Chronic Post-Episiotomy Pain
Not yet recruitingNot applicableNCT07814183
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This study has no listed site in Canada in this snapshot. It is included as part of the worldwide chronic pain corpus.
Brief summary (from the registry)
This prospective, single-center, open-label, randomized controlled trial will evaluate whether repeated ultrasound-guided pudendal nerve block combined with standardized physiotherapy and standard postpartum analgesic management reduces persistent post-episiotomy pain and postpartum dyspareunia compared with standard management alone. Women aged 18-40 years who have undergone vaginal delivery with episiotomy or a first-time perineal tear and who report postpartum pain greater than 3/10 within 24 hours after delivery will be randomized in a 1:1 ratio. The intervention group will receive standard management plus a repeated pudendal nerve block before hospital discharge and a second block on postpartum Day 10 if pain remains greater than 3/10. Pain and sexual function will be assessed through 3 months postpartum.
Study details
- Official title
- Efficacy of Repeated Pudendal Nerve Block Combined With Physiotherapy for the Prevention of Chronic Post-Episiotomy Pain and Dyspareunia: A Randomized Controlled Trial
- Conditions
- Chronic Post-episiotomy Pain
- Postpartum Dyspareunia
- Interventions
- Procedure: Ultrasound-Guided Pudendal Nerve Block
- Sponsor
- Vinmec Healthcare System
- Start date
- 2026-09-01
- Primary completion
- 2027-09-01
- Sex
- Female
- Age range
- from 18 Years to 40 Years
- Results posted
- No results posted in this snapshot
- Total sites listed
- 0
Eligibility criteria
Show eligibility criteria (verbatim from the registry)
Inclusion Criteria: Participants must meet all of the following: * Women aged 18-40 years. * Term pregnancy. * Vaginal delivery with episiotomy or first-time perineal tear. * Postpartum pain score \>3/10 within 24 hours after delivery. * Willingness to participate and provide informed consent. - Exclusion Criteria: * Refusal to participate. * Previous episiotomy or perineal tear. * Pain score ≤3/10. * Known allergy to study medications. * Pre-existing pudendal neuralgia. * Pre-existing dyspareunia.
Source: ClinicalTrials.gov (US National Library of Medicine), snapshot October 2026. Check the registry for current recruiting status. Record: https://clinicaltrials.gov/study/NCT07814183