31/05/2025
𝐏𝐮𝐝𝐞𝐧𝐝𝐚𝐥 𝐍𝐞𝐮𝐫𝐚𝐥𝐠𝐢𝐚 is a significant cause of pelvic pain, usually being diagnosed after many years of painful symptoms. The delay in diagnosis occurs because there is not yet a well-established specialty for this pathology. It is caused by irritation, inflammation, or entrapment of the pudendal nerve, a key nerve that supplies feeling to the lower pelvis, including the ge****ls, perineum, and a**s. When this nerve becomes damaged or compressed, it can cause severe and persistent pain that significantly impacts daily life.
Many patients suffer for years without a correct diagnosis because the symptoms for this condition can be misdiagnosed as a series of other conditions (e.g., gynecological, urological, gastrointestinal issues).
A few of the causes of the pudendal neuralgia are:
✅Childbirth injuries due to stretching of the pelvic musculature from the fetal head;
✅Chronic constipation;
✅ Direct trauma, including falls, motor vehicle accidents, and pelvic surgeries (pelvic organ prolapse repair with mesh);
✅Prolonged sittings (sewists, computer operators, office workers, judges, concert pianists, commercial drivers, chess players and locomotive engineers).
The diagnosis is made following a discussion with the patient. This conversation may reveal a combination of specific symptoms that could suggest the presence of the condition. MRI investigation and clinical examination can rule out other pathologies such as endometriosis or adenomyosis
