• F Itza Santos, J Salinas, D Zarza, F Gómez Sancha, and A Allona Almagro.
• Unidad del Dolor, Clínica del Dolor, Madrid, España. fitza@arrakis.es
• Actas Urol Esp. 2010 Jun 1;34(6):500-9.

IntroductionThe syndrome of pudendal nerve entrapment (SANP) is widely unknown and often misdiagnosed or confused with other diseases. It was first described by Amarenco in 1987. The classic clinical manifestation is pudendal neuralgia, a neuropathic pain in the genital area.ObjectivesTo make known its existence to the urology professionals through a systematic review of existing literature and its potential for diagnosis and treatment.Material And MethodsWe performed a literature search through the database Pubmed using the terms Pudendal nerve, Pudendal nerve entrapment syndrome, Pelvic floor neuropathic pain, Pelvic floor myofascial syndrome, Pudendal nerve decompression. Also, selected works in English, Spanish and French, also reviewing the articles relate this work.ResultsWe develop the highlights of the syndrome: anatomy, etiology, pathophysiology, clinical diagnosis, ecodoppler of internal pudendal artery, electrophysiological studies, diagnostic criteria, medical therapy, physical therapy treatments and surgery.ConclusionIt is an uncommon cause of pain in the pelvic floor and greatly affects quality of life of patients. Today, we have diagnostic and therapeutic tools that allow us to treat this disabling syndrome with good results.

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