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There is no one cause of pudendal neuralgia. It may be related to: 1  Childbirth trauma. 2  Gynaecological or colo-rectal surgery. 3  Cycling. 4  Excessive physical exercise. 5  Past pelvic or perineal trauma. 6  Injury. 7  Straining.
Pudendal neuralgia was first described in 1987 by Amarenco et al. It is a severely painful and disabling neuropathic condition, affecting both men and women, involving the dermatome of the pudendal nerve. This leads to pain in the clitoris/penis, vulva/scrotum, perineum, and rectum, especially when sitting.udendal neuralgia is described as a neuropathic pain in the distribution of the pudendal nerve. Pain may be present along the entire dermatome, or may be restricted to sites innervated by the nerveâs branches (Fig. 1).