Pudendal Neuralgia

Rana AL-Jumah, Krishna B. Shah

Research output: Chapter in Book/Report/Conference proceedingChapter


The pudendal nerve provides sensory input for both male and female external genitalia. Symptoms of pudendal neuralgia include burning, numbness, tingling, and paresthesias in the pelvic and perineal regions. It is commonly caused by inflammation, pudendal nerve entrapment, or nerve compression at the sacrospinous and sacrotuberous ligaments. It is typically diagnosed clinically; however, imaging and nerve blocks serve as important diagnostic tools as well. Management with nonopioid medications and physical therapy are the mainstay approach to pudendal neuralgia. When conservative treatment does not provide adequate pain relief, interventional options such as radiofrequency ablation and neuromodulation implantable therapies are considered.

Original languageEnglish (US)
Title of host publicationInterventional Management of Chronic Visceral Pain Syndromes
Number of pages9
ISBN (Electronic)9780323757751
ISBN (Print)9780323757768
StatePublished - Jan 1 2020
Externally publishedYes


  • Alcock's canal
  • Chronic pelvic pain
  • Mechanical nerve compression
  • Pelvic pain
  • Perineal pain
  • Pudendal nerve block
  • Pudendal nerve entrapment
  • Pudendal neuralgia

ASJC Scopus subject areas

  • General Medicine


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