Diagnostic Criteria for Pudendal Neuralgia by Pudendal Nerve Entrapment Essential criteria (must all be present) 1. Pain in the territory of the pudendal nerve: from the anus to the penis or clitoris 2. Pain is predominantly experienced while sitting ▪ The pain does not wake the patient at night ▪ Pain with no objective sensory impairment ▪ Pain relieved by diagnostic pudendal nerve block 3. Complementary diagnostic criteria ▪ Burning, shooting, stabbing pain, numbness ▪ Allodynia or hyperpathia ▪ Rectal or vaginal foreign body sensation (sympathalgia) ▪ Worsening of pain during the day ▪ Predominantly unilateral pain ▪ Pain triggered by defecation ▪ Presence of exquisite tenderness on palpation of the ischial spine ▪ Clinical neurophysiology findings in men or nulliparous women 4. Exclusion criteria ▪ Exclusively coccygeal, gluteal, pubic or hypogastric pain ▪ Pruritus ▪ Exclusively paroxysmal pain ▪ Imaging abnormalities able to account for the pain 5. Associated signs not excluding the diagnosis ▪ Buttock pain on sitting ▪ Referred sciatic pain ▪ Pain referred to the medial aspect of the thigh ▪ Suprapubic pain ▪ Urinary frequency and/or pain on a full bladder ▪ Pain occurring after ejaculation ▪ Dyspareunia and/or pain after sexual intercourse ▪ Erectile dysfunction ▪ Normal clinical neurophysiology