Anatomical basis of chronic pelvic pain syndrome: the ischial spine and pudendal nerve entrapment.
Chronic pelvic pain syndrome is a conundrum that may be explained partly by pudendal nerve entrapment (PNE), which causes neuropathic pain. In men with PNE, aberrant development and subsequent malpositioning of the ischial spine appear to be associated with athletic activities during their youth. The changes occur during the period of development and ossification of the spinous process of the ischium.
Antolak
Stanley J
SJ
Departments of Urology, Radiology, Anatomy, and Neurologic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. antolak.stanley@mayo.edu
Hough
David M
DM
Pawlina
Wojciech
W
Spinner
Robert J
RJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000886:Anthropometry; D016723:Bone Remodeling; D002908:Chronic Disease; D012090:Cumulative Trauma Disorders / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007512:Ischium / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D017773:Pelvic Floor / Q000473:pathology; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D011312:Pressure; D011472:Prostatitis / Q000150:complications; D013177:Sports