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Case Report
Pudendal nerve neuralgia: Awakening to an underestimated reality
1 Neurology Department, Universidade Iguaçu (UNIG), Nova Iguaçu, RJ, Brazil
2 Medical Student at Iguaçu University (UNIG), Nova Iguaçu, RJ, Brazil
3 Universidade Iguaçu (UNIG), Nova Iguaçu, RJ, Brazil
4 Neurology Department, Iguaçu University – UNIG, Hospital Geral de Nova Iguaçu, Nova Iguaçu, RJ, Brazil
Address correspondence to:
Antonio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói, RJ,
Brazil
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Article ID: 101300Z01MO2022
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How to cite this article
Orsini M, Nascimento JF, Moreno AM, da Silva Catharino AM, Armada L. Pudendal nerve neuralgia: Awakening to an underestimated reality. Int J Case Rep Images 2022;13:101300Z01MO2022.ABSTRACT
Introduction: Pudendal neuralgia is the constituent pain component of the pudendal syndrome, caused by pudendal neuropathy. Described as a chronic and severely disabling neuropathic perineal pain, it is often underdiagnosed and inadequately intervened. The present case report intends to emphasize a rare pathology, some of its clinical aspects and diagnostic criteria, demonstrating an example of how the delay in diagnosis can lead to an excessive expenditure of health resources, as well as to significant physical and psychological suffering.
Case Report: We report a case of a 45-year-old male pianist, who reported excessive workload in a sitting position and denied personal history of comorbidities. He reported that about eight months ago he started having unilateral, strong pain in the penis. He stated that such pain presents as tingling, pricking, throbbing, and sometimes burning. It typically worsened when he sat down, relieved with walking, and gradually increased during the day and worsened at night.
Conclusion: Importantly, patients must be encouraged to prevent painful stimuli and to actively participate in physical therapy, since chronic pain represents a mental and economic burden for the patient. Lifestyle changes are one of the primary elements of the therapeutic plan, and although retrospectively this diagnosis seems simple, it is underestimated and most patients are mistreated.
Keywords: Neuralgia, Neuropathic pain, Pelvic pain, Pudendal nerve
SUPPORTING INFORMATION
Author Contributions
Marco Orsini - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jacqueline Fernandes Nascimento - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adalgiza Mafra Moreno - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Antonio Marcos da Silva Catharino - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Luciana Armada - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Marco Orsini et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
