Pudendal neuralgia is associated with pain and other symptoms within the distribution of the pudendal nerve.


Main symptoms:

(1) pelvic pain

(2) bowel dysfunction

(3) urinary dysfunction

(4) sexual dysfunction


The pain is typically worse when sitting and relieved on standing. It tends to involve the perineum; the zone of possible involvement extends lateral several centimeters from a line connecting the genitals the anus.


Bowel dysfunction may include:

(1) constipation

(2) difficulty in passing stool

(3) a feeling of a foreign object in the rectum

(4) anorectal pain before, during or after a bowel movement


Urinary dysfunction may include:

(1) hesitancy

(2) urgency

(3) frequency

(4) poor stream (slow and/or interrupted)

(5) dysuria


Sexual dysfunction may include:

(1) pain during intercourse

(2) difficulty in achieving orgasm

(3) genital burning sensation

(4) erectile dysfunction in male

(5) sexual arousal syndrome in a female


The presence of one or more of these findings should prompt an evaluation of the patient for pudendal neuralgia.


To read more or access our algorithms and calculators, please log in or register.