Pudendal Neuralgia: Fact or Fiction?

  title={Pudendal Neuralgia: Fact or Fiction?},
  author={Kobi Stav and Peter L. Dwyer and Les Roberts},
  journal={Obstetrical \& Gynecological Survey},
Purpose. To review the condition of pudendal neuralgia (PN) and its role in chronic pelvic pain in women. Methods. A Medline search for articles published before April, 2008 was done using a list of terms related to PN including: pudendal nerve, neuralgia, chronic pelvic pain syndromes, and entrapment neuropathies. Results. The prevalence of PN is unknown and it seems to be a rare event. The main feature is neuralgic pain in the distribution of the pudendal nerve. The most common patient’s… 

Pudendal Neuralgia: The Need for a Holistic Approach-Lessons From a Case Report.

This case serves as a prime example of how the psychosocial approach is equally important in management of pudendal neuralgia, given that psychological factors can make pain persist, and it is imperative to properly address them.

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.

CT-guided nerve block for pudendal neuralgia: diagnostic and therapeutic implications.

CT-guided pudendal nerve blocks appear to be valuable diagnostically for PN and uncommonly therapeutically and on the basis of these preliminary results, an algorithm for the role of the procedure for Pn is developed.

CT Guided Pudendal Nerve Block

Pudendal nerve block can be performed with CT guidance in a safe and effective manner, and further evaluation of the long-term effectiveness of the procedure with a prospective study is warranted.

Pudendal Nerve Neuralgia/Entrapment

The etiology of pudendal nerve entrapment requires further definition, but suspicion of this pathology can be validated through a comprehensive history, physical examination, and appropriate ancillary tests, including injections.

Pulsed Radiofrequency Ablation of Pudendal Nerve for Treatment of a Case of Refractory Pelvic Pain.

Transgluteal PRF ablation can serve as a viable treatment option for mitigating symptoms of pudendal neuropathy and MR neurography is useful in confirming a clinically suspected diagnosis of PN.

Pudendal nerve entrapment in an Ironman athlete: a case report.

Pudendal nerve entrapment is a rare, painful condition and is often misdiagnosed due to the fact that the clinical manifestations can mimic other pathologies so it is important to be aware of the clinical features to obtain appropriate diagnosis and treatment of this condition promptly.

Transsacral S2-S4 nerve block for vaginal pain due to pudendal neuralgia.

Bloqueio do nervo pudendo e simulação obstétrica

The objectives of this work are to conduct a review of the pudendal nerve block for labor analgesia, focusing on its the main advantages and limitations, and to rethink its use in the absence of contraindications or other analgesic techniques.



[Modern algorithm for treating pudendal neuralgia: 212 cases and 104 decompressions].

Surgical methodology, post-op follow-up and results, which appear quite successful: after one year 86% of the subjects are symptom-free or with a significant reduction of pain.

Pudendal nerve decompression in perineology : a case series

This study suggests that bilateral PND can treat perineodynia, anal and urinary incontinence and the three clinical signs of PCS seem to be efficient to suspect this diagnosis.

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

[Treatments of perineal neuralgia caused by involvement of the pudendal nerve].

Perineal neurophysiologic examinations are useful to confirm pudendal nerve lesion and propose specific medical and/or surgical treatment.

Postherpetic pudendal neuralgia.

A 50-year-old man has had several attacks of nearly unbearable pain and discomfort in the groin, perineum, testes, urethra, anal and perianal regions, and the upper anterior portion of the thighs.

Results of pudendal nerve neurolysis-transposition in twelve patients suffering from pudendal neuralgia

This preliminary study suggests that complete disappearance of pain for at least two weeks after a nerve block repeated twice before surgery may be the best criterion to predict success in pudendal neuralgia surgery.

Pudendal neuralgia, a severe pain syndrome.

Electrophysiological analysis of pudendal neuropathy following traction

Perineal electrophysiological examination can confirm the pudendal neuropathy and give prognostic information following surgical repair of femoral fracture, hip dislocation, or intra‐articular foreign body, in which the traction table was used.

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 neurophysiological significance of perineal descent

  • Y. HoH. Goh
  • Medicine
    International Journal of Colorectal Disease
  • 2004
A linear relationship between PD on straining and PNMTL was confirmed, supporting the previous study which also measured PD by perineometry and supporting the other study which refuted such a relationship, and is likely that the difference was in the measurement technique.