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Pudendal Neuralgia

Chronic pain syndrome due to irritation of the pudendal nerve, which innervates the perineum.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Nöroloji department. Book Appointment →

What is Pudendal Neuralgia?

Pudendal neuralgia is a neuropathic pain syndrome characterized by chronic pain in the perineum, genital area, anus, and around the buttocks, resulting from compression or irritation of the pudendal nerve originating from the sacral plexus.

Pain typically worsens with sitting and is relieved by standing or lying down. Burning, electric-shock-like sensations, and numbness are the most commonly described pain qualities. Bladder, bowel, and sexual dysfunction may accompany.

It is a syndrome that is frequently misdiagnosed or diagnosed late; for an accurate diagnosis, a multidisciplinary evaluation involving neurology, urology, and pelvic floor physiotherapy is recommended.

Symptoms

Burning and pain in the perineum or genital area
Pain that worsens with sitting and improves with standing
Pain around the anus
Burning during urination
Pain during intercourse (dyspareunia)
Numbness or hypersensitivity

Risk Factors

Long-term cycling
Pelvic surgery or birth trauma
Chronic constipation
Excessive tension of pelvic floor muscles
Connective tissue weakness

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Chronic pain in the perineum that worsens with sitting
  • If bladder or bowel dysfunction is present
  • When gynecological or urological causes have been ruled out
  • If quality of life is significantly impaired

Treatment Methods

01
Pelvic floor physiotherapy
02
Neuropathic pain medications (amitriptyline, duloxetine, pregabalin)
03
Pudendal nerve block
04
Pulsed radiofrequency ablation
05
Multidisciplinary pain clinic follow-up

Which Department to Visit?

You can visit our Nöroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.