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Planning CT performed with the patient prone with an overlying marking grid. Using intermittent CT guidance, two 22-gauge Quincke needles were used to target the pudendal canals. The left (patient's left) needle is initially deep enough and contrast confirms the tip is within the pudendal canal. The right needle is initially slightly superficial and with minor advancement, injection of contrast shows correct needle placement; extra-vascular and within the pudendal canal. Steroid containing injectate then given.