Pudendal Neuralgia
Targeted Cryoneurolysis for Deep Pelvic and Perineal Nerve Pain
What Is It?
Pudendal neuralgia is a chronic pain condition involving the pudendal nerve — a major sensory nerve that travels through the pelvis and supplies feeling to the perineum, genitals, and anus. When this nerve becomes entrapped, inflamed, or compressed, it can cause persistent pain or sensitivity in some of the most intimate and functionally important areas of the body.
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.
Pelvic & Groin Pain Conditions We Treat
We use cryoneurolysis to address a range of nerve-related pelvic and groin pain conditions:
Groin Pain After Hernia Surgery
Learn MoreNerve irritation following inguinal or femoral hernia repair, often involving the ilioinguinal or genitofemoral nerves.
Genitofemoral Neuralgia
Learn MoreBurning or aching pain in the groin, pubic region, or upper thigh due to irritation of the genitofemoral nerve.
Pudendal Neuralgia
Learn MoreDeep pelvic pain affecting the clitoris, vagina, penis, or anus due to entrapment or inflammation of the pudendal nerve.
Ready to Feel Relief?
Explore the individual conditions listed above or book a consultation today to discuss whether cryoneurolysis is right for you.
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Clinic information
Medical Tuset Barcelona
C/ Tuset 23-25, entresuelo08006 Barcelona
Opening hours
Tuesday: 9:00 to 14:00
Other days and times: by appointment