Evidence and experience
What the evidence and two decades of surgical experience say about pelvic nerve sexual dysfunction.
Because the pudendal nerve supplies genital sensation, its irritation can produce numbness, hypersensitivity, pain during or after intercourse, and persistent unwanted arousal.
These symptoms are widely under-reported by patients and under-asked by clinicians. Naming them is the first step to explaining them.
Our consultations cover sexual symptoms explicitly and discreetly, because they carry diagnostic weight rather than being an embarrassing side note.
Dr Bollens is a professor of urology, a proctor in pelvic surgery and a published author on pudendal neuralgia.