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  1. Pudendal neuralgia is chronic pelvic pain caused by an irritated or damaged pudendal nerve. Your pudendal nerve runs from the back of your pelvis to all the muscles and skin in your genital area, including your anus, vagina and penis. Treatment options include medication, physical therapy, lifestyle changes or surgery.

  2. Jan 19, 2023 · Causes. Symptoms. Diagnosis. Treatment. Exercise. Outlook. Takeaway. Pudendal nerve entrapment occurs when that nerve is compressed, such as from a tumor. Symptoms include painful bowel...

  3. Aug 21, 2023 · Surgical Decompression: Surgery to directly free the pudendal nerve in Alcock's canal is considered the most effective long-term treatment and potential cure for pudendal nerve entrapment. The four different approaches are transperineal, transgluteal, transischiorectal, and laparoscopic. [42]

  4. Mar 13, 2024 · Treatment. 3 min read. Pudendal neuralgia is a condition that causes pain, discomfort, or numbness in your pelvis or genitals. It happens when a major nerve in the lower body is damaged or...

  5. Feb 12, 2024 · As pudendal neuropathy is often a tunnel entrapment syndrome, treatment is analogous to carpal tunnel syndrome, including initial conservative nerve protection measures, physical therapy, pharmacologic therapy, pudendal nerve blocks, sacral neuromodulation, and surgical decompression of the pudendal nerves.

  6. Pathophysiology. The exact mechanism of nerve dysfunction and damage is dependent on its aetiology. It can be unilateral or bilateral. Causes include compression, stretch, direct trauma, and radiation. Pudendal neuralgia is a functional entrapment where pain occurs during a compression or stretch maneuver.

  7. Treatment of pudendal nerve entrapment by nerve block is not often prescribed due to "discomfort associated with the local injections as well as the risk of injuring critical structures." Pulsed radiofrequency. This can be used instead of pudendal nerve perineural injections.

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