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The Bladder (BL)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Pudendal nerve entrapment leads to pain in the rectum, scrotum/labia, or penis/clitoris. Pain worsens when seated and subsides when standing or lying down.3 The two principle sites of pudendal nerve entrapment involve 1) between the sacrotuberous and sacrospinous ligaments and 2) in the pudendal canal.
Vulvodynia – an evolving disease
Published in Climacteric, 2022
Factors associated with vulvodynia onset include the following [16]:Chronic inflammatory stimulation of the vulva by recurrent candidiasis.Adverse response to hormones.Genetic predisposition to other painful disorders.Neurological disorders, especially multiple sclerosis.Significant emotional and psychological distress.Sleep disturbance or mood disorders.History of child abuse or molestation.Pelvic floor muscle overactivity and pudendal nerve entrapment.
Clinical effect of computed guided pudendal nerve block for patients with premature ejaculation: a pilot study
Published in Scandinavian Journal of Urology, 2020
Fouad Aoun, Georges Mjaess, Joseph Assaf, Anthony Kallas Chemaly, Tonine Younan, Simone Albisinni, Fabienne Absil, Thierry Roumeguère, Renaud Bollens
Pudendal nerve entrapment is diagnosed clinically via the presence or absence of Nantes criteria [13]. However, these criteria seem to be limited mainly to neuralgia (i.e. pain in the pudendal somatosensory skin territory), along with some complementary findings including hyperpathia, allodynia, numbness and sympathalgia [13]. They do not take into consideration other symptoms that were demonstrated in the literature to be explained by pudendal nerve entrapment such as urinary frequency and urgency, painful bladder symptoms, dyspareunia, erectile dysfunction, etc. [22,23]. Consequently, PNE can lead to a broad spectrum of clinical signs and symptoms that outstrip the classical Nantes criteria, even without the presence of pelvic pain.