What is Pudendal Neuralgia?
Pudendal neuralgia is pain in the areas supplied by the sensory nerves of the pelvis. It typically affects the reproductive organs, rectum, or prostate gland. It may be worsened by bowel movements or by certain positions. It is caused by muscle entrapment or repetitive injury to the nerves of sensation. It is diagnosed by reproduction of the pain when the pudendal nerve is pushed through the rectal wall.
How is Pudendal Neuralgia Treated?
Anti-inflammatory agents, either steroidal or NSAIDS, are the mainstay of treatment, as are muscle relaxants. Routine injection nerve block may be used for patients who do not improve with an oral regimen. Surgery is reserved for severe cases where conservative management fails.