Management of pudendal neuralgia

  title={Management of pudendal neuralgia},
  author={Faustino R. P{\'e}rez-L{\'o}pez and Fidel Hita-Contreras},
  pages={654 - 656}
Abstract Pelvic pain is a frequent complaint in women during both reproductive and post-reproductive years. Vulvodynia includes different manifestations of chronic vulvar pain with no known cause. Many women do not receive a diagnosis and appropriate treatment. Pudendal neuralgia is a painful condition caused by inflammation, compression or entrapment of the pudendal nerve; it may be related to or be secondary to childbirth, pelvic surgery, intense cycling, sacroiliac skeletal abnormalities or… 

Differentiating overlapping symptoms of vulvodynia and pudendal neuralgia

A 26-year-old woman presented with persistent vulvodynia, who received oral and topical medications and behavioural interventions to lessen sexual pain and restore sexuality, and reported symptoms previously not mentioned: continuous, intense periclitoral pain and numbness at the perineum when sitting for a long time.

Osteopathic manipulative treatment in pudendal neuralgia: A case report.

Current concepts in vulvodynia with a focus on pathogenesis and pain mechanisms

Treatment for vulvodynia needs to follow a biopsychosocial model and be tailored to the patient, and a multimodal and multidisciplinary approach is often most effective.

Pudendal Nerve Injuries in Sports and Exercise: A Case Series of Pudendal Neuropathies From Squats

This is the first case series to present a number of patients with pelvic pain due to pudendal neuropathies presumably derived from squat-related exercise and all 4 patients had good outcomes utilizing a multidisciplinary approach to management.

Management of persistent pelvic pain in girls and women.

  • S. Evans
  • Medicine, Political Science
    Australian family physician
  • 2015
A practical framework for the clinical assessment and management of PPP in general practice is provided, supported by evidence where available, with useful references included for further reading.

Actinic cystitis associated with urinary tract infection by Candida glabrata as a differential diagnosis of pudendal neuralgia. Case report

Estudo da Dor ABSTRACT BACKGROUND AND OBJECTIVES : Chronic pelvic pain is still a little-known syndrome with different etiological agents, high morbidity rate, with little information about its

Peripheral Nerve Stimulation for Pudendal Neuralgia: A Technical Note.

Optimization of patient selection, ultrasound guidance, and proper adherence to postimplant activity restrictions may be helpful for long-term therapeutic success.



Pudendal canal syndrome as a cause of vulvodynia and its treatment by pudendal nerve decompression.

  • A. Shafik
  • Medicine
    European journal of obstetrics, gynecology, and reproductive biology
  • 1998

Voiding Dysfunction Associated with Pudendal Nerve Entrapment

Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and

Pudendal Neuropathy Involving the Perforating Cutaneous Nerve After Cystocele Repair With Graft

Removal of sutures, even long after surgery, can result in clinically significant improvement in pain symptoms and sexual function in patients with pudendal nerve entrapment.

Nerve injury locations during retropubic sling procedures

It is hypothesize that retropubic slings can potentially injure the pudendal, ilioinguinal, and iliohypogastric nerve branches.

Response to pudendal nerve block in women with pudendal neuralgia.

In patients with pudendal neuralgia, the pUDendal nerve block has a variable response, but may have a beneficial effect in a subset of women.

[Surgery of the pudendal nerve in various types of perineal pain: course and results].

Surgery had been useful in two-thirds of the cases and in 44% of the patients, there was either a frank improvement or no change; early diagnosis appears to be the determining factor in improving results.

Successful treatment of refractory pudendal neuralgia with pulsed radiofrequency.

It is concluded that PRF of the pudendal nerve offers promise as a potential treatment of PN that is refractory to conservative therapy and is felt to be safer than continuous radiofrequency.

Chronic Perineal Pain: Analyses of Prognostic Factors in Pudendal Neuralgia

A mixed analgesic ladder for chronic pain showed improvement in 73% of the patients with PN and pain restricted to the dorsal clitoris nerve and small fibers in the S2-S4 dermatome were classified as bad prognostic factors.

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.