Myths and facts
Separating myth from fact on candidate pudendal nerve surgery, because the myths are what keep patients undiagnosed for years.
A good candidate has symptoms in the pudendal nerve territory, a positional pattern, a supportive response to a diagnostic block, and no better explanation from previous investigations.
Widespread pain with no nerve-specific pattern, or pain fully explained by another condition, is usually better served by other treatment. Saying so honestly is part of the job.
Every candidate assessment at Pelvic Institute is done by the operating surgeon, not delegated.
A structured specialist review replaces guesswork with a mechanism — or rules our field out entirely.