Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria)

  title={Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria)},
  author={Jean Jacques Labat and Thibault Riant and Roger Robert and G{\'e}rard Amarenco and J. P. Lefaucheur and J{\'e}r{\^o}me Rigaud},
  journal={Neurourology and Urodynamics},
The diagnosis of pudendal neuralgia by pudendal nerve entrapment syndrome is essentially clinical. There are no pathognomonic criteria, but various clinical features can be suggestive of the diagnosis. We defined criteria that can help to the diagnosis. 

Recommendations on the management of pudendal nerve entrapment syndrome: A formalised expert consensus

The aim of this work was to develop recommendations on the diagnosis and the management of PNE.

Selection criteria for surgical treatment of pudendal neuralgia

The aim of this study is to evaluate the relevance of anesthetic test response to select patients for surgery, and whether this criterion can be used to predict its success.

The drug‐resistant pudendal neuralgia management: A systematic review

A systematic review of the published treatments of PN in order to help physician to take their decision to treat PN.

[Mechanisms of formation and diagnosis of tunnel pudendal neuropathy].

The author considers a set of the Nantes diagnostic criteria for pudendal neuralgia and presents a brief differential diagnosis of pelvic neuropathies and the causes of the low diagnosability of pUDendal neuropathy are analysed.

Pudendal Nerve Entrapment

This chapter includes a review of the clinical presentation, anatomy, pathophysiology, diagnostic examination, differential diagnosis, and treatment of pudendal entrapment in patients with chronic pelvic pain.

Spinal cord stimulation of the conus medullaris for refractory pudendal neuralgia: A prospective study of 27 consecutive cases

The objective was to describe the efficacy of spinal cord stimulation of the conus medullaris in patients with refractory pudendal neuralgia.

Pudendal Neuralgia Due to Pudendal Nerve Entrapment: Warning Signs Observed in Two Cases and Review of the Literature.

The 2 cases described in this report illustrate the need to recognize atypical pudendal neuralgia and clarify the role of pelvic magnetic resonance imaging (MRI), as MRI provides very valuable information for the evaluation of diseases involving the ischiorectal fossa.

Pudendal and Inferior Cluneal Nerve

This chapter detailed the anatomy and sonoanatomy of the pudendal nerve at the interligamentous plane and the inferior cluneal nerves at the subgluteal region and the ultrasound-guided intervention technique.

Role of nerve block as a diagnostic tool in pudendal nerve entrapment

This study aimed to determine if pudendal nerve blockade under general anaesthesia could diagnose and temporarily treat pudENDal nerve entrapment in patients suffering from chronic pelvic/perineal pain and/or organ dysfunction.

A new endoscopic minimal invasive approach for pudendal nerve and inferior cluneal nerve neurolysis: An anatomical study

To describe a new minimal invasive approach of the gluteal region which will permit to perform neurolysis of the pudendal and cluneal nerves in case of perineal neuralgia due to an entrapment of



Proctalgia Fugax: Caused By Pudendal Neuropathy?

  • M. Takano
  • Medicine
    Diseases of the colon and rectum
  • 2005
The location, character, and degree of pain caused by digital examination were confirmed by all of them to be similar to that which they experience at times of paroxysm and suggest that the pathogenesis of proctalgia fugax is neuralgia of the pudendal nerves.

[Neuralgia of the pudendal nerve. Anatomo-clinical considerations and therapeutical approach].

The anatomic study of the pudendal nerve and its relation allows an approach of the mechanisms of compression likely to engender perineal neuralgia and the relation between the trunk of the nerve, its branches and these zones of conflict may explain the clinical observations.

Anorectal and perineal pain: new pathophysiological hypothesis

A provocative interpretation of the role of psychological factors in anorectal and perineal pain is offered, and current concepts about these disorders and the approach to diagnosis and management are reviewed.

Pudendal neuralgia, a severe pain syndrome.

Anatomic basis of chronic perineal pain: role of the pudendal nerve

Considering so-called idiopathic perineal pain as an entrapment syndrome, the clinical and neurophysiologic arguments and infiltration tests have led to define a surgical strategy which has currently given 70% of good results in 170 operated patients.

The internal obturator muscle may cause sciatic pain

Douleurs anopérinéales chroniques, diagnostic et stratégie d'exploration

Douleur périnéale et souffrance des nerfs honteux internes

The constancy of symptoms among various patients, alterations revealed by electrophysiologic studies, pain relief by diagnostic blocks, data from anatomic studies, preliminary results of medical and surgical applied therapies, give consistent arguments for possible organic lesions of pudental nerves.

Piriformis syndrome: diagnosis, treatment, and outcome--a 10-year study.

The FAIR test correlates well with a working definition of piriformis syndrome and is a better predictor of successful physical therapy and surgery than the working definition.