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.
