Therapeutic Efficacy of Ultrasound-Guided High-Voltage Long-Duration Pulsed Radiofrequency for Pudendal Neuralgia
Table 1
Diagnostic criteria for pudendal neuralgia (Nantes criteria).
Essential criteria
Complementary diagnostic criteria
Exclusion criteria
Pain in the territory of the pudendal nerve Pain is predominantly experienced while sitting The pain does not wake the patient at night Pain with no objective sensory impairment Pain relieved by diagnostic pudendal nerve block
Burning, shooting, and stabbing pain, numbness Allodynia or hyperpathia Rectal or vaginal foreign body sensation (sympathalgia) Worsening of pain during the day Predominantly unilateral pain Pain triggered by defecation Presence of exquisite tenderness on palpation of the ischial spine Clinical neurophysiology findings in men or nulliparous women
Exclusively coccygeal, gluteal, pubic, or hypogastric pain Pruritus Exclusively paroxysmal pain Imaging abnormalities able to account for the pain