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Updated: Jun 6, 2026

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
[Symptomatic approach to chronic pudendal pain]
J-J Labat1, D Delavierre, L Sibert
1Centre fédératif de pelvipérinéologie, clinique urologique, CHU de Nantes, 44093 Nantes, France. jjlabat@chu-nantes.fr
Pudendal neuralgia, a disabling chronic pain condition, is diagnosed clinically using the Nantes Criteria. While straightforward in typical cases, associated symptoms can complicate diagnosis and treatment.
Area of Science:
- Neurology
- Pain Medicine
Context:
- Pudendal neuralgia is a recognized clinical entity characterized by chronic, disabling pain.
- This condition results from a pelviperineal tunnel syndrome.
Purpose:
- To review the literature on pudendal neuralgia.
- To outline the diagnostic criteria and challenges associated with this condition.
Summary:
- Diagnosis of pudendal neuralgia is primarily clinical, relying on the Nantes Criteria.
- These criteria include pain in the pudendal nerve territory, exacerbated by sitting, and relieved by anesthesia block.
- Associated urinary, anorectal, sexual, and neuromuscular symptoms can complicate diagnosis and management.
Impact:
- Provides a clear diagnostic framework for pudendal neuralgia.
- Highlights the complexities in managing patients with associated symptoms.
- Aids clinicians in approaching this challenging pain condition.
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