Section Three: Diagnosis of Neuralgia - Chronic Pelvic Pain with Synthetic Vaginal Mesh

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Neuralgia pain can be sharp, burning, tingling, numbing sensation.
The clinical symptoms of pudendal neuralgia are pain in the area of innervation of pudendal nerve, which in women it can be clitoris, vulva, vagina, perineum, and rectum. Women with pudendal neuralgia have pain in that area that’s worse with sitting, usually better with standing, lying down or sitting on the toilet. Some women with severe pudendal neuralgia cannot sit at all.
“That’s how we monitor the improvement with our treatments. How long you can sit? That is closely correlated with our patient outcomes.”
-Michael Hibner, M.D.
Pelvic Pain Specialist
Women with pudendal neuralgia can suffer anal pain and from burning with urination, similar to interstitial cystitis. Also, women experience frequency meaning they go to the bathroom often, and hesitancy, which is not being able to urinate. They can have pain with intercourse, pain with sexual arousal or pain with orgasm.
“There are patients that have such a horrible pain with bowel movements that they are asking to have a colostomy placed so they don’t have to have bowel movements. I see patients often that will tell me they use a teaspoon to scoop out their stool because they’re not able to void.”
-Michael Hibner, M.D.
Pelvic Pain Specialist