• Neurourol. Urodyn. · Jan 2008

    Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria).

    • Jean-Jacques Labat, Thibault Riant, Roger Robert, Gérard Amarenco, Jean-Pascal Lefaucheur, and Jérôme Rigaud.
    • Service d'Urologie, CHU Hôtel-Dieu, Nantes, France.
    • Neurourol. Urodyn. 2008 Jan 1;27(4):306-10.

    AimsThe diagnosis of pudendal neuralgia by pudendal nerve entrapment syndrome is essentially clinical. There are no pathognomonic criteria, but various clinical features can be suggestive of the diagnosis. We defined criteria that can help to the diagnosis.Materials And MethodsA working party has validated a set of simple diagnostic criteria (Nantes criteria).ResultsThe five essentials diagnostic criteria are: (1) Pain in the anatomical territory of the pudendal nerve. (2) Worsened by sitting. (3) The patient is not woken at night by the pain. (4) No objective sensory loss on clinical examination. (5) Positive anesthetic pudendal nerve block. Other clinical criteria can provide additional arguments in favor of the diagnosis of pudendal neuralgia. Exclusion criteria are also proposed: purely coccygeal, gluteal, or hypogastric pain, exclusively paroxysmal pain, exclusive pruritus, presence of imaging abnormalities able to explain the symptoms.ConclusionThe diagnosis of pudendal neuralgia by pudendal nerve entrapment syndrome is essentially clinical. There are no specific clinical signs or complementary test results of this disease. However, a combination of criteria can be suggestive of the diagnosis.(c) 2007 Wiley-Liss, Inc

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