Management of pudendal neuralgia.
Pelvic pain is a frequent complaint in women during both reproductive and post-reproductive years. Vulvodynia includes different manifestations of chronic vulvar pain with no known cause. Many women do not receive a diagnosis and appropriate treatment. Pudendal neuralgia is a painful condition caused by inflammation, compression or entrapment of the pudendal nerve; it may be related to or be secondary to childbirth, pelvic surgery, intense cycling, sacroiliac skeletal abnormalities or age-related changes. Clinical characteristics include pelvic pain with sitting which increases throughout the day and decreases with standing or lying down, sexual dysfunction and difficult with urination and/or defecation. To confirm pudendal neuralgia, the Nantes criteria are recommended. Treatment includes behavioral modifications, physiotherapy, analgesics and nerve block, surgical pudendal nerve decompression, radiofrequency and spinal cord stimulation.
University of Zaragoza Faculty of Medicine & Lozano Blesa University Hospital , Zaragoza , Spain.
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Pérez-López
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Hita-Contreras
D000700:Analgesics / Q000627:therapeutic use; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D009407:Nerve Block; D026741:Physical Therapy Modalities; D060525:Pudendal Nerve / Q000503:physiopathology / Q000601:surgery; D060545:Pudendal Neuralgia / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D014844:Vulva
D000700:Analgesics
ALCOCK’S CANAL; NANTES CRITERIA; PELVIC PAIN; PUDENDAL NEURALGIA; VULVODYNIA