Materiały źródłowe

• #1 Pudendal Neuralgia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/sites/books/NBK562246/

  Pudendal neuralgia (PN) is often unrecognized; therefore, the actual incidence is unknown. However, the International Pudendal Neuropathy Association estimates an incidence of 1 in 100,000 within the general population. A study by Spinosa et al reported a 1% incidence in the general population. Though PN occurs in both genders, women are affected more than men. Children can also be affected due to congenital anomalies in the nerve pathway. Orphanet, a European health information database, states pudendal neuralgia affects 4% of all patients undergoing consultations for pain control, occurring in 7 women for every 3 men. Many clinicians, especially those who routinely treat pudendal neuralgia, believe the true incidence is significantly higher than reported in the existing literature. […] Pudendal neuralgia is significantly underdiagnosed and often inadequately or improperly treated. Consequently, a patient’s quality of life is dramatically negatively impacted by resulting conditions, including depression and opioid addiction. In some cases, delays in diagnosis and proper treatment have led to confirmed patient suicides.

• #2 Pudendal nerve neuralgia: Awakening to an underestimated reality – International Journal of Case Reports and Images (IJCRI)

  https://www.ijcasereportsandimages.com/archive/article-full-text/101300Z01MO2022

  Pudendal neuralgia is the painful component of the pudendal syndrome, caused by pudendal neuropathy. This condition affects both sexes in a similar way, and in children it is the result of congenital abnormalities of the nerve pathway. It is described as a chronic and severely disabling neuropathic perineal pain, which is usually underdiagnosed and inadequately intervened. It is often associated with significant losses in quality of life, in terms of its subjective and multidimensional aspects: cognitive, behavioral, sexual, emotional, and psychosocial. […] It is important to point out that due to the little and almost null knowledge about this condition, the patients affected by it are submitted to exhaustive and expensive interventions. Even so, it is observed with certain frequency, the dark and Jurassic diagnosis of hysteria, as well as cauda equina syndrome, urinary tract infection, among others commonly used.

• #2 Pudendal Neuralgia | GLOWM

  https://www.glowm.com/section-view/heading/Pudendal%20Neuralgia/item/691

  The prevalence of pudendal neuralgia is unknown, although some have estimated a prevalence of 1/100,000 people. Spinosa et al. documented an incidence of 1% in the general population, affecting women more than men. Orphanet, www.ophra.net, a European website providing information about orphan drugs and rare diseases, states that pudendal neuralgia is diagnosed in 4% of patients undergoing treatment for chronic pelvic pain. However, from our experience, the incidence may be significantly higher, with women comprising 70% of our diagnosed patients. […] Pudendal neuralgia and pudendal nerve entrapment are largely unknown conditions. There is a paucity of research on this topic. Information presented in this chapter is based on available peer-reviewed literature and our clinical experience from treating over 500 patients with pudendal neuralgia.

• #2 Pudendal nerve neuralgia: Awakening to an underestimated reality – International Journal of Case Reports and Images (IJCRI)

  https://www.ijcasereportsandimages.com/archive/article-full-text/101300Z01MO2022

  Therefore, the aim of the present study is to highlight a condition that, although rare, causes significant physical and psychological detriment. The symptoms presented by the patient may confuse and/or mimic other conditions, hinder timely diagnosis, lead to a disproportionate expenditure of health resources, and lead to the establishment of therapies that are ineffective and sometimes not directed at the problem. […] Pudendal neuralgia should be suspected in patients with a history of pelvic pain, particularly perineal and genital, with or without associated sexual, urinary, or bowel symptoms. The pain often presents with subtle onset, except when generated by acute trauma. It usually subsides in the morning and progresses throughout the day. In general, patients complain of burning pain, tingling pain, stabbing pain, and shock-like pain. In more than 50% of patients, the pain is exacerbated by sitting and relieved by standing, lying down, or sitting on a toilet seat.

• #3 Pudendal nerve entrapment – Wikipedia

  https://en.wikipedia.org/wiki/Pudendal_nerve_entrapment

  The exact prevalence is unknown, but pudendal nerve entrapment and pudendal neuralgia are thought to be uncommon or rare. The incidence of pudendal neuralgia was estimated as 1 in 100000 in the general population by the International Pudendal Neuropathy Association (a now defunct patient group). The true number could be higher due to some cases not being correctly diagnosed. Others state that pudendal neuralgia may be over-diagnosed. According to one source, pudendal nerve entrapment is the most common cause of chronic pelvic pain. Pudendal neuropathy may occur in males and females, but is more common in females. It has been reported at any age from toddlers to 90-year-olds. 160 male cyclists who trained for a 540 km bicycle race responded to a questionnaire regarding pudendal nerve entrapment symptoms. 22% said they had symptoms of impotence. 30% reported hand numbness, which may represent entrapment of the median nerve or the ulnar nerve.

• #4 Advances in the therapeutic approach of pudendal neuralgia: a systematic review

  https://www.degruyter.com/document/doi/10.1515/jom-2021-0119/html?lang=en

  Although pudendal neuralgia (PN) has received growing interest over the last few years, diagnosis remains difficult, and many different therapeutic approaches can be considered. […] The International Pudendal Neuropathy Foundation estimates that the prevalence of PN may be around 1/100,000 of the worlds population (age: 50-70 years old; 2/3 females). In France, according to the Orphanet database, the prevalence of PN is estimated at 1/6,000. […] Despite their intrinsic low level of evidence, studies involving fewer than 10 patients remain interesting to the extent that they may help identify trends or avenues of study, with a view to applying their treatments on a larger scale. […] In the present systematic review, 28 studies focusing on patients with PN and treated utilizing various approaches were investigated. It has been shown that to date, no actual scientifically robust consensus exists regarding either optimal treatment or follow-up. The scientific evidence level remains too low, due to a limited number of randomized controlled studies in the literature.

• #5 Advances in the therapeutic approach of pudendal neuralgia: a systematic review

  https://www.degruyterbrill.com/document/doi/10.1515/jom-2021-0119/html?lang=en&srsltid=AfmBOoq5Z4bcSN9VVRcaulyOLIbiPyRApKPRXe8_gSQzPx2biXebN0mL

  Although pudendal neuralgia (PN) has received growing interest over the last few years, diagnosis remains difficult, and many different therapeutic approaches can be considered. […] The International Pudendal Neuropathy Foundation estimates that the prevalence of PN may be around 1/100,000 of the worlds population (age: 50-70 years old; 2/3 females). In France, according to the Orphanet database, the prevalence of PN is estimated at 1/6,000. […] The review presented herein aims at analyzing the different therapeutic protocols tested and offered to patients suffering from PN and assessing their respective efficacies. […] It has been reported that 78% of cyclists suffer from PN with long-distance practice. […] The diagnosis of PN is complex because it may easily be confused with gynecological disorders in females, or urological symptoms in males.

• #5 Advances in the therapeutic approach of pudendal neuralgia: a systematic review

  https://www.degruyterbrill.com/document/doi/10.1515/jom-2021-0119/html?lang=en&srsltid=AfmBOoq5Z4bcSN9VVRcaulyOLIbiPyRApKPRXe8_gSQzPx2biXebN0mL

  The therapeutic approach to PN is generally composed of four steps. […] In this review, the most conspicuous observation to emerge is that the follow-up of crucial variables, such as pain intensity and QoL, is ensured for durations that are far too diverse. […] In the present systematic review, 28 studies focusing on patients with PN and treated utilizing various approaches were investigated. It has been shown that to date, no actual scientifically robust consensus exists regarding either optimal treatment or follow-up.

• #6 Pudendal neuralgia | American Hospital of Paris

  https://www.american-hospital.org/en/pathologie/pudendal-neuralgia

  Pudendal neuralgia is often misdiagnosed or confused with other pelvic conditions such as menstrual pain, urinary infections or prostate issues. […] Onset often occurs between the ages of 50 and 70, and is more common in women (affecting 6 women for every 4 men). […] The proportion of the general population affected by pudendal neuralgia is 6.6%. […] The average period before patients with pudendal neuralgia receive an accurate diagnosis is 4 years.

• #7 Pudendal Neuralgia: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/24438-pudendal-neuralgia

  Pudendal neuralgia is rare, but anyone can get it. An estimated 30,000 to 200,000 people have pudendal neuralgia in the United States. Its most common in adults older than 19. […] Healthcare providers diagnose pudendal neuralgia with a physical exam and other tests. […] Pudendal neuralgia and many other conditions have similar symptoms, such as pain and incontinence. […] Chronic nerve pain can interfere with your daily life. It affects your relationships, activities and general wellness. Seek help from a healthcare provider if you have pelvic pain or experience sexual dysfunction, incontinence or depressive thoughts. They can help you find relief for your pain and determine if your pudendal nerve is the cause.

• #8 Pudendal Neuralgia Conference | University of Maryland School of Medicine

  https://www.medschool.umaryland.edu/pnc/

  Pudendal neuralgia (also known as Alcock’s syndrome, Pudendal Canal Syndrome) is a condition caused by an entrapment, compression or tension of the pudendal nerve resulting in pain in the distribution of the pudendal nerve. Pudendal neuralgia is a rare condition and many healthcare providers are unaware of this condition and lack knowledge in the diagnosis, treatment and management of Pudendal Neuralgia. […] This meeting will be of interest to Surgeons, Primary Care Physicians, Interventional Radiologists, Gynecologists, Neurologists, Urologists, Nurses, Nurse Practitioners, Pain Physicians, Physician Assistants, Physical Therapists, Residents, Fellows, and Medical Students.

• #9 Nerve Block Relieves Chronic Vaginal Pain | NYU Langone Health Physician Focus

  https://physicianfocus.nyulangone.org/nerve-block-relieves-chronic-vaginal-pain-from-pudendal-neuralgia/

  Pudendal neuralgia falls through the cracks because patients are not knowledgeable about it and most healthcare providers have never heard of it. […] With no imaging or clinical diagnostic tests for pudendal neuralgia, asking detailed questions may be the best way to help diagnose it. […] If indicated, a pudendal nerve block can offer rapid relief and a definitive diagnosis.

• #10 Orphanet: Pudendal nerve entrapment syndrome

  https://www.orpha.net/en/disease/detail/60039

  The prevalence of Pudendal neuralgia (PN) is unknown. A female predominance is reported, with a female/male ratio of 6:4. […] PN usually presents between the ages of 50-70 years. […] The diagnostic criteria (Nantes criteria) for PN includes the presence of pain in the distribution of the pudendal nerve that is worsened by sitting, with no objective sensory impairment, which does not provoke awakening in the night, and that is relieved with anesthesia by pudendal nerve block. […] PN greatly affects quality of life, but has no effect on life expectancy.

• #11 Pudendal Neuralgia – Diagnosis & Treatment

  https://ainsworthinstitute.com/conditions/pudendal-neuralgia/

  Pudendal Neuralgia is more common in women than men (7:3). In fact it is often called obstetric neuropathy because of its prevalence during childbirth. The average age of PNs onset is 50-70. […] Although pudendal neuralgia has come to be used interchangeably with pudendal nerve entrapment and Alcock Canal Syndrome, a 2009 study found pudendal neuralgia to be a rare event and no evidence to support equating the presence of this syndrome with a diagnosis of pudendal nerve entrapment. This means one might display all the symptoms of pudendal neuralgia but not actually have an entrapped (pinched) pudendal nerve. […] Pudendal neuralgia is an uncommon and complex diagnosis distinct from other forms of chronic pelvic pain.

• #12 Taking the Shame out of Pudendal Neuralgia!

  https://www.contemporaryobgyn.net/view/taking-shame-out-pudendal-neuralgia

  Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. […] Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. […] Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia.

• #13 When is Pelvic Pain a Sign of Pudendal Neuralgia?: Anthony Echo, MD: Plastic Surgeon

  https://www.anthonyechomd.com/blog/when-is-pelvic-pain-a-sign-of-pudendal-neuralgia

  Pudendal neuralgia is often misdiagnosed, as there are limited imaging studies or special tests to check for this condition. […] While this condition occurs in women and men, about two-thirds of those diagnosed are female. […] Unfortunately, diagnosing pudendal neuralgia can be difficult, as the tests for the condition are not routinely performed or offered in all cities or by all physicians. […] If Dr. Echo believes your pelvic pain is caused by pudendal nerve compression or entrapment, and you have failed the other treatments, then he may recommend surgical intervention.

• #14 Fluoroscopy-Guided Transgluteal Pudendal Nerve Block for Pudendal Neuralgia: A Retrospective Case Series

  https://www.mdpi.com/2077-0383/13/9/2636

  Pudendal neuralgia is a debilitating chronic neuropathic pain condition characterized by perineal pain. It primarily affects women, with an incidence twice as high as in men. Overall, according to the International Pudendal Neuropathy Association, this condition affects 1 in 100,000 individuals. […] The success rates (≥30% reduction in pain) were 49.4 (95% CI: 38.5%, 60.3%) lasting at least two weeks and 23.5% (95% CI: 14.3%, 32.7%) lasting at least one month. […] To the best of the authors’ knowledge, our study is the largest retrospective case series to evaluate the effectiveness of fluoroscopy-guided transgluteal pudendal nerve blocks. All of these procedures were covered by insurance. […] In this retrospective review, we found that a fluoroscopy-guided transgluteal pudendal nerve block offered clinically important short-term benefits for pudendal neuralgia. The procedure was well tolerated, with few adverse events, all of which were transient in nature.

• #15 Pudendal neuralgia: standing up to the problem | Medicine Today

  https://medicinetoday.com.au/mt/2015/june/regular-series/pudendal-neuralgia-standing-problem

  The incidence of pudendal neuralgia appears to be increasing with the rise in desk jobs that cause women to sit for long periods of time. […] Pudendal neuralgia is common, although population-based epidemiology studies are unfortunately lacking. […] So, theoretically at least, pudendal neuralgia should be present in a large subset of the general population.

• #16 EAU Guidelines on Chronic Pelvic Pain – Uroweb

  https://uroweb.org/guidelines/chronic-pelvic-pain/chapter/epidemiology-aetiology-and-pathophysiology

  No adequate data on incidence were found. […] A UK study found a prevalence of chronic pelvic pain of 14.8% in women aged 25 years. […] Symptoms and signs of neuropathic pain appear to be common in CPPPS patients and assessment of neuropathic pain should be considered in that group of patients including those with secondary pelvic pain and other pelvic pathologies. […] Pudendal neuralgia is the most often mentioned form of nerve damage in the literature. […] Anatomical variations may pre-dispose the patient to developing pudendal neuralgia over time or with repeated low-grade trauma (such as sitting for prolonged periods of time or cycling). […] The clinical presentation depends on different factors. […] It is suggested that, the younger the patient, the better the prognosis. […] Six out of ten cases are observed in women. […] In Urogenital Pain Management Centres, the commonest associations with pudendal neuralgia appear to be: history of pelvic surgery; prolonged sitting; and postmenopausal older women.

• #17 Pudendal Neuralgia and Endometriosis

  https://drseckin.com/pudendal-neuralgia-and-endometriosis/

  Pudendal neuralgia, associated with pudendal nerve entrapment (PNE) syndrome, is a highly debilitating, chronic neuropathic pain that can affect both men and women. Its prevalence is low at around 1 in 100,000 people. However, the prevalence may be substantially higher since many cases go unreported. Researchers know that PNE affects women twice as often as men. […] Doctors often misdiagnose neuropathy due to endometriosis as a musculoskeletal issue mostly because of the lack of expertise in the treatment and diagnosis of endometriosis. However, early diagnosis of conditions such as pudendal neuralgia is very important to prevent further nerve damage and avoid serious physical and mental problems. […] Pudendal neuralgia coinciding with the onset of periods suggests that endometriosis is the most likely reason. In such cases, laparoscopic deep excision surgery followed by histology is the way to reach a definite diagnosis.

• #18 Pudendal Neuralgia | Pelvic Pain Help

  https://pelvicpainhelp.com/pudendal-neuralgia/

  PUDENDAL NEURALGIA IS A RARE CONDITION. As much of the scientific literature observes, pudendal neuralgia is a rare condition. In the popular press, WebMD as well discusses pudendal neuralgia as a rare problem with the pudendal nerve. In a 2009 Obstetrical and Gynecological survey (Volume 64 – Issue 3 – pp 190-199, Pudendal Neuralgia, Fact or Fiction?), authors conclude that the occurrence of pudendal neuralgia is a rare event…. Clinical neurophysiology tests have quite low diagnostic efficacy…. PN is said to be a diagnosis of exclusion and requires a high index of suspicion. […] We have found that pathology of the pudendal nerve is a rare occurrence in our practice as well. This diagnosis of pudendal neuralgia however, in the past several years, has been used more widely to label symptoms of what we believe, in most cases, is most commonly pelvic floor dysfunction. […] According to the European Association of Urology: “pain relief following decompression of the nerve in Alcock’s canal (pudendal nerve entrapment surgery) is rarely achieved.”

• #19 Pudendal Neuralgia: Ioannis M Skaribas, MD, DABA, FASA: Anesthesiology

  https://www.expertpaincare.com/blog/pudendal-neuralgia

  Pudendal neuralgia is a painful condition caused by inflammation, compression, or entrapment of the pudendal nerve. […] Patients presenting with pudendal nerve involvement can be identified based on their history and presenting symptoms. […] The accurate diagnosis of pudendal neuralgia is frequently delayed, and patients often go months or years of ineffective treatments after seeing a multitude of specialists. […] Although Pudendal Neuralgia is common, it is often over-diagnosed. […] Not all pelvic Pain is Pudendal Neuralgia. […] Common conditions that could mimic pudendal neuralgia include interstitial cystitis, chronic or non-bacterial prostatitis, Pelvic inflammatory disease, vulvodynia, vulvar vestibulitis, chronic pelvic pain syndrome (CPPS), endometriosis, coccygodynia, Lumbosacral radiculitis, CRPS1 and CRPS 2 of the pelvic floor and perineal area, atypical chronic proctalgia fugax, and idiopathic perineal neuropathy.

• #20 A systematic approach to Pudendal Neuralgia- A neuropathic Chronic perineal pain syndrome

  https://www.kauveryhospital.com/ima-journal/ima-journal-april-2024/a-systematic-approach-to-pudendal-neuralgia-a-neuropathic-chronic-perineal-pain-syndrome/

  The Pudendal neuralgia refers to a chronic perineal pain syndrome due to entrapment between sacrotuberous and sacrospinous ligaments, an entrapment neuropathy and this is diagnosed purely by clinical means only. […] Patients with pudendal neuralgia often suffer for several years before being diagnosed. Like any other Neuropathic pain the earlier the diagnosis lights the way for easy management strategies. […] The diagnosis of pudendal neuralgia is primarily clinical and should be reviewed in the light of the course of the disease. However once it diagnosed the pudendal neuralgia is treated by pudendal nerve block that is both diagnostic and therapeutically.

• #21 Pudendal Neuralgia | Article | GLOWM

  https://www.glowm.com/article/heading/vol-4–benign-gynecology–pudendal-neuralgia/id/418233

  Its prevalence is estimated to be about 1/100,000 people, affecting females more than males. Research states that pudendal neuralgia is diagnosed in 4% of patients taking treatment for chronic pelvic pain. […] Pudendal nerve entrapment is rarely idiopathic. […] Patients meeting all the required Nantes Criteria have better outcomes from decompression surgery than patients who only partially meet them. […] Pudendal nerve blocks can be performed unguided or with the use of image-guided techniques have both diagnostic and therapeutic value.

• #22

• #23 Pudendal Neuralgia (PN) – Symptoms, Causes, Diagnosis, & Treatment

  https://staging.myprivia.com/gynpain/services/pudendal-neuralgia

  Dr. Richard Marvel specializes in treating pudendal neuralgia in both men and women. […] Pudendal neuralgia (also known as Alcocks syndrome, Pudendal Canal Syndrome) is a condition caused by an entrapment, compression or tension of the pudendal nerve resulting in pain in the distribution of the pudendal nerve. […] The exact mechanism of nerve dysfunction and damage is dependent on its etiology. […] Pudendal neuralgia can be caused by various mechanisms. These can be separated into three basic categories: […] A pudendal nerve block can be both therapeutic and diagnostic. […] The three main surgical techniques are currently available worldwide for nerve decompression (the transperineal approach, the trans gluteal approach, and the trans-ischio rectal approach).

• #24 Top Published Expert Doctors for Pudendal Neuralgia

  https://findexpertmd.com/d/Pudendal_Neuralgia

  202 top medical experts on Pudendal Neuralgia across 21 countries and 12 U.S. states, including 36 MDs (Physicians). This is based on an objective analysis of their Scientific Publications, Clinical Trials, Medicare, and NIH Grants. […] Clinical Trials ClinicalTrials.gov : at least 9 including 1 Active, 3 Completed, 1 Recruiting.

• #25 Pudendal Neuralgia – Wilderman Medical Clinic

  https://drwilderman.com/conditions/pelvic-pain/pudendal-neuralgia/

  Pudendal neuralgia (PN), which may also be called pudendal nerve entrapment syndrome, is a chronic pain condition caused by unilateral (50% of cases) or bilateral (50% of cases) irritation or damage to the pudendal nerve (Leslie, 2022). […] As PN is a relatively new diagnosis to designate a specific kind of chronic pelvic or genital pain, there is no consistent estimate of how many people are affected. It is estimated to account for 4% of all chronic pelvic pain diagnoses, though the percentage is likely to be much higher than that. […] Similarly, the lack of consistent diagnosis means that research on PN is ongoing, and most of the current knowledge is based on gathered medical professional experience rather than research. […] The current results of research and medical professionals experiences have highlighted several possible factors that increase the risk of PN (Leslie et al., 2022). These include: […] However, due to the limited research specifically done about PN, further studies are needed to determine the optimal treatment plan for PN. Most of the current suggested treatments are based on research regarding chronic pelvic pain and chronic nerve pain conditions.

• #26 Sexual dysfunction due to pudendal neuralgia: a systematic review – Aoun – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/71552/html

  The pudendal nerve is considered as the main nerve of sexuality. Pudendal neuralgia is an underdiagnosed disease in clinical practice. The aim of this systematic review is to highlight the role of pudendal neuralgia on sexual dysfunction in both sexes. […] Pudendal nerve and/or artery entrapment, or pudendal neuralgia, is a reversible cause of multiple sexual dysfunctions. […] Pudendal neuralgia is an underestimated yet important cause of persistent genital arousal, erectile dysfunction (ED), premature ejaculation (PE), ejaculation pain, and vulvodynia. […] All these studies have reported the role of compression of the pudendal nerve and/or the pudendal artery in the pathophysiology and treatment of sexual dysfunction. […] Pudendal nerve and artery entrapment is a reversible cause of ED that healthcare professionals should be aware of. Pudendal canal decompression is an easy, simple and effective treatment when performed by an experienced surgeon. […] Multiple sexual dysfunctions are labeled as idiopathic. However, despite the scarce data, attention toward the pudendal canal syndrome or pudendal neuralgia and its implication in the physiopathology of sexual dysfunction has grown.

• #27 :: ICU :: Investigative and Clinical Urology

  https://icurology.org/DOIx.php?id=10.4111/icu.20230402

  The study identified four primary sites of pudendal nerve entrapment (PNE), with the most prevalent location likely being at the level of the Alcock canal. […] Voiding symptoms are commonly exhibited in patients with PNE. […] PNN improved both urgency and voiding symptoms, and urinary and anal incontinence but is less effective in cases of long-standing entrapment. […] PNN emerges as a viable option for addressing urinary symptoms, fecal incontinence, erectile dysfunction, and female sexual arousal in patients suffering from PNE with minimal postoperative morbidity. […] The role of PNE should be considered a potential underlying cause in patients with LUTS refractory to medical therapy. […] Both transperitoneal and transgluteal surgeries seem to offer a safe and highly effective therapeutic option for patients experiencing debilitating pain and intractable LUTS that significantly impact their quality of life. […] The present systematic review analyzed the outcomes of surgical neurolysis in patients suffering from PNE. We found that PNN is a viable option for addressing LUTS, ED, AI, SUI, and female sexual arousal related to PNE.

• #28 Pudendal Neuralgia: Causes, Symptoms, Diagnosis, and Treatment

  https://www.webmd.com/pain-management/pudendal-neuralgia

  Its not clear exactly how many people have this condition, but experts believe its rare. […] Pudendal neuralgia is a condition that causes pain, discomfort, or numbness in your pelvis or genitals. […] Most people with pudendal neuralgia get treatment with a combination of physical therapy, lifestyle changes, and medicines.

• #29 Pudendal Nerve Decompression – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/800_899/0805.html

  The pudendal nerve is a nerve in the pelvic region that carries both sensory and motor fibers; it innervates the external genitalia of both sexes, as well as sphincters for the bladder and the rectum. Pudendal neuralgia (PN), also known as Alcock canal syndrome, pudendal canal syndrome (PCS), pudendal nerve entrapment (PNE) and pudendal nerve neuropathy, is a type of neuropathic pain in the pelvic region. It is a poorly recognized disease/syndrome; and its prevalence is unknown. The International Pudendal Neuropathy Association estimates the incidence of this condition to be 1/100,000; however, most practitioners treating patients with this condition feel the actual rate of incidence may be significantly higher (Hibner et al, 2010). […] Hibner and colleagues (2010) stated that there is fair paucity of medical literature and scientific evidence in the diagnosis and treatment of PN.

• #29 Pudendal Nerve Decompression – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/800_899/0805.html

  In summary, there is limited evidence on the effectiveness of pudendal nerve decompression in the treatment of chronic pelvic pain, pudendal neuralgia, as well as vulvodynia/vulvar vestibulitis. Furthermore, many studies were also limited by small sample sizes and short-term follow-up. Well-designed studies are needed to ascertain the clinical value of pudendal nerve decompression.

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