Research Article

Therapeutic Efficacy of Ultrasound-Guided High-Voltage Long-Duration Pulsed Radiofrequency for Pudendal Neuralgia

Table 1

Diagnostic criteria for pudendal neuralgia (Nantes criteria).

Essential criteriaComplementary diagnostic criteriaExclusion 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