Pelvic and Genitourinary Pain

At Park Avenue Medicine & Surgery, Dr. Karan Johar, MD, specializes in providing compassionate, effective treatment for chronic pelvic pain, prostatitis, chronic pelvic pain syndrome (CPPS), and genitourinary pain. Utilizing advanced, minimally invasive techniques, we help patients find relief from conditions that have impacted their quality of life. Our goal is to offer the highest level of care and empower patients to return to an active, comfortable life.

Our Specialized Treatments for Chronic Pelvic and Genitourinary Pain

Our treatments focus on targeted pain relief through nerve blocks and neuromodulation, which can reduce or eliminate chronic pain signals. These techniques are safe, effective, and tailored to each patient’s unique needs.

Advanced Nerve Block Options

Nerve blocks are highly effective for managing chronic pain by temporarily blocking pain signals from specific nerves. Performed under fluoroscopy (a specialized X-ray for precision), these treatments target the nerves responsible for pelvic and genitourinary pain:

  • Pudendal Nerve Block: Reduces pain in the perineum, genital areas, and rectum, especially helpful for patients with pudendal neuralgia and other types of pelvic pain.

  • Ganglion of Impar Block: Aids in relieving coccydynia (tailbone pain) and pain originating from the pelvic floor and rectal areas.

  • Superior Hypogastric Plexus Block: Provides relief for widespread pelvic pain, including pain associated with interstitial cystitis and certain lower urinary tract issues.

  • Ilioinguinal and Iliohypogastric Nerve Block: Targets lower abdomen, groin, and genital pain, especially after surgeries like hernia repair.

  • Genitofemoral Nerve Block: Helps relieve groin and upper thigh pain often associated with genitofemoral neuralgia.

  • Posterior Femoral Cutaneous Nerve Block: Addresses pain radiating to the perineal region and back of the thigh.

These minimally invasive procedures can make a significant difference for patients dealing with chronic pelvic and genitourinary pain.

Neuromodulation for Long-Term Relief

Neuromodulation involves the use of mild electrical impulses to alter pain signals along specific nerves, providing effective long-term relief for patients with complex or persistent pain. Dr. Johar offers several options:

  • Sacral Nerve Stimulation (SNS): Specifically targets the sacral nerves, often helpful for pelvic pain and bladder symptoms.

  • Spinal Cord Stimulation (SCS): Modulates pain signals at the spinal level, particularly effective for lower abdominal and pelvic pain that hasn’t responded to other treatments.

  • Peripheral Nerve Stimulation (PNS): Directly targets individual nerves involved in pelvic pain, such as the pudendal, ilioinguinal, and posterior femoral cutaneous nerves, providing highly focused pain relief.

Vein Treatments for Varicose Veins and Venous Insufficiency

In addition to pain management, we offer endovenous ablation for patients suffering from varicose veins and venous insufficiency. This treatment can reduce pain, swelling, and discomfort in the legs, enhancing both appearance and function. Endovenous ablation is a minimally invasive procedure that closes off damaged veins, redirecting blood flow to healthier veins.

Why Choose Park Avenue Medicine & Surgery?

With a patient-centered approach, Dr. Johar and our team are committed to providing individualized care, ensuring that each treatment is tailored to your specific needs. Whether you are seeking relief from chronic pelvic pain or looking for a solution to varicose veins, we are here to help you regain control of your health and well-being.

If you or a loved one is suffering from chronic pelvic or genitourinary pain, contact us today to schedule a consultation and learn how our advanced pain management techniques can help you lead a more comfortable, active life.