2009-11-07 18:25:25 -
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The pudendal nerve carries senations from the external genitals, the lower rectum, and the perineum. The perineum is that area between the genitals and the anus. Neuropathy refers to diseases of or damage to nerves, so pudendal neuropathy can cause symptoms in any of these areas.
Pudendal nerve entrapment is often misdiagnosed as a prostate problems, such as prostatodynia or nonbacterial
prostatitis. Unkknown causes of vaginal pain, testicular pain, rectal pain, penile pain, coccyx pain and buttock pain may arise from pudendal neuropathy. About two thirds of Pudendal nerve entrapment patients are women.
Causes of Incontinence Secondary To Pudendal Nerve Injury
Pudendal nerve entrapment can occur suddenly or develop over time. Prolonged sitting, cycling, repetitive movement and exercising with the legs may lead to pudendal nerve entrapment.
Some people have mostly rectal pain, sometimes with defecation problems. Others have mostly pain in the perineum or genitals. The symptoms may include stabbing, twisting or burning pain, pins and needles, numbness or hypersensitivity. Usually the symptoms are made worse by sitting, and better by either standing or lying down. It may feel that one is sitting on a lump.
PNE is similar to Carpal Tunnel Syndrome, which is also a form of nerve entrapment. However PNE, due to its location, is much harder to treat.
Pudendal nerve entrapment is a nerve condition causing pain for no apparent reason in the area served by the pudendal nerve. No one pain pattern dominates. Pain can be in just one area, several, or all. It can be on one side, two sides, or the middle. Frequently there are also urinary, rectal, or sexual problems.
Signs and Symptoms of Incontinence Secondary To Pudendal Nerve Injury
Pudendal Neuropathy is frequently caused by inflammatory damage or chronic mechanical compression of the pudendal nerve.
Damage to the pudendal nerve can occur suddenly as a result of trauma, such as surgery in the pelvic region, falls, bicycle accidents or childbirth and sometimes even from severe constipation. It can also occur from sustained trauma over time, such as from bicycle riding or aggressive weightlifting that strains the pelvic muscles. It can be caused by diseases such as diabetes or multiple sclerosis.
Trauma may cause stretching or compression of the nerve directly, or by causing fibrosis which can pinch the nerve.
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