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Updated: Apr 25, 2026

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Pudendal neuralgia.

Waseem Khoder1, Douglass Hale1

  • 1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Indiana University School of Medicine, 1633 North Capitol Avenue, Suite 436, Indianapolis, IN 46202, USA.

Obstetrics and Gynecology Clinics of North America
|August 27, 2014
PubMed
Summary
This summary is machine-generated.

Pudendal neuralgia, a condition impacting the pudendal nerve, can be diagnosed using the Nantes criteria. A structured, step-ladder therapeutic approach is recommended for effective patient management.

Keywords:
Nantes criteriaPudendal nerve blockPudendal nerve entrapmentPudendal neuralgia

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Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Pudendal neuralgia is a debilitating condition characterized by pain in the anatomical distribution of the pudendal nerve.
  • Accurate diagnosis is essential for effective management.

Purpose of the Study:

  • To outline the diagnostic framework provided by the Nantes criteria for pudendal neuralgia.
  • To propose a structured therapeutic strategy for patients diagnosed with pudendal neuralgia.

Main Methods:

  • Review and synthesis of the diagnostic criteria for pudendal neuralgia.
  • Description of a step-ladder therapeutic approach for managing pudendal neuralgia.

Main Results:

  • The Nantes criteria offer a structured approach to diagnosing pudendal neuralgia.
  • A sequential, step-ladder therapeutic strategy is presented for clinical application.

Conclusions:

  • The Nantes criteria provide a valuable tool for the diagnosis of pudendal neuralgia.
  • A systematic, step-ladder treatment plan can optimize outcomes for patients with pudendal neuralgia.