Common symptoms of pudendal neuralgia include:

• Burning, aching, or stabbing pain in the perineum, rectum, or genitals
• Numbness or tingling in the clitoris, penis, vulva, or anus
• Pain that worsens with sitting and improves when standing or lying down
• Sexual dysfunction or pain during intercourse (dyspareunia)
• Discomfort during bowel movements or urination

Common Causes

Pudendal neuralgia is often caused by compression or trauma to the pudendal nerve along its course through the pelvis. Common contributors include:

• Childbirth or pelvic trauma
• Prolonged sitting (e.g., cycling, desk work)
• Surgical procedures involving the pelvis or perineum
• Pudendal nerve entrapment (Alcock’s canal syndrome)
• Scar tissue, inflammation, or pelvic floor dysfunction

How Cryoneurolysis Helps

Barcelona Cryo Center uses ultrasound-guided cryoneurolysis to treat pudendal neuralgia by targeting the superficial branches of the pudendal nerve — or adjacent contributing nerves such as the perineal or inferior rectal branches — depending on the patient’s pain pattern.

Using real-time imaging, the affected nerve is located and cooled through a small probe, temporarily deactivating its pain signals while preserving nearby muscle and organ function.

Key Benefits:

• Minimally invasive: Performed in-office with no sedation or surgical incisions
• Targeted and safe: Cryoneurolysis avoids permanent nerve damage
• Function-preserving: Sensory nerves are affected without impacting bowel or bladder control
• Relieves deep pelvic pain: Especially helpful for sitting, intimacy, or toileting pain
• Repeatable: Pain relief typically lasts several months and may be renewed as needed

Ideal Candidates

You may benefit from cryoneurolysis if you:

• Have persistent perineal or genital pain that worsens with sitting
• Have been diagnosed with pudendal neuralgia or pelvic nerve entrapment
• Experience pain during intimacy, bowel movements, or urination
• Want a nonsurgical, outpatient option for long-term relief

Restore Comfort and Intimacy

Pudendal neuralgia can deeply impact your physical, emotional, and relational well-being. Cryoneurolysis offers a focused, minimally invasive option to restore relief, mobility, and connection — with dignity and precision.

Book your consultation with Barcelona Cryo Center today.