This protocol addresses patients with chronic pelvic pain syndrome presenting with neuropathic perineal pain localised to the distribution area of the pudendal nerve, where there is evidence of underlying nerve injury.
The perineal pain in this scenario follows the distribution of the pudendal nerve and is attributable to nerve damage — a presentation distinct from primary perineal pain syndrome. This form of nerve-injury-associated perineal pain, sometimes referred to as pudendal neuralgia, is the most commonly described type of pudendal nerve damage in the clinical literature. Accurate characterisation of the nerve injury is central to guiding intervention.
Management involves a targeted interventional approach directed at the site of pudendal nerve injury or entrapment, using image-guided or nerve-stimulator-assisted localisation. The complete regimen — including the full procedural sequence, agent selection, and referral pathway — is detailed in the structured protocol.