Authors' recommendations: Pudendal neuralgia is characterized by chronic pain, often described as burning, in the distribution of one or more branches of the pudendal nerve. It may produce vaginal, vulvar, anal, clitoral, penile, scrotal, or perineal pain. Pain may extend to the groin, medial thigh, buttocks, and abdomen, and the skin in these areas may be extremely sensitive to touch. Other possible symptoms are constipation, pain on defecation, dyspareunia, sphincteric dysfunction, sensory loss in the distribution of the nerve, urinary symptoms, and sexual dysfunction. Actions or events that displace the pelvic floor structures, stretch the pudendal nerve, or otherwise traumatize the nerve are associated with pudendal neuralgia. Examples are vaginal delivery (especially instrumented delivery), cycling, horseback riding, herpes simplex infection, radiation therapy for rectal cancer, pelvic reconstructive procedures such as anal sphincteroplasty, midurethral sling procedures, sacrospinous ligament suspension, hematoma or infection resulting from such procedures, spasm of levator ani or obturator internus muscles, scar tissue from trauma or surgery in the surrounding area, and even injection of the pudendal nerve performed to relieve the pain. Patients with pudendal neuralgia have often seen many physicians and specialists without a definitive diagnosis or satisfactory treatment.

Project Status: Completed

Year Published: 2013

URL for published report: The report may be purchased from: http://www.hayesinc.com/hayes/crd/?crd=15341

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: United States

Organisation Name: HAYES, Inc.

Contact Address: 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218

Contact Name: saleinfo@hayesinc.com

Contact Email: saleinfo@hayesinc.com

Copyright: 2013 Winifred S. Hayes, Inc