Evidence and experience
What the evidence and two decades of surgical experience say about pudendal nerve entrapment sites.
The nerve is most commonly compressed between the sacrospinous and sacrotuberous ligaments, and within Alcock's canal along the wall of the pelvis.
The site of compression predicts the pattern of symptoms, which is why detailed symptom mapping is not a formality but a diagnostic step.
Surgical planning follows the anatomy identified during assessment rather than a standard template.
Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.