Pelvic pain pattern checker
Pudendal nerve entrapment risk check
A structured symptom review based on the Nantes criteria. This tool estimates whether your pattern is worth discussing with a pelvic pain, urogynecology, urology, colorectal, neurology, or pain specialist.
Reference
Nantes criteria explained
The Nantes criteria are a clinical framework for pudendal neuralgia caused by pudendal nerve entrapment. The five essential criteria are: pain in the pudendal nerve territory, pain that is worse sitting, pain that does not wake the person at night, no objective sensory loss on clinical exam, and relief after a diagnostic pudendal nerve block.
Supportive features include burning, shooting, stabbing, tingling or numb-like pain, touch sensitivity, rectal or vaginal foreign-body sensation, worsening during the day, one-sided pain, pain around defecation, tenderness near the ischial spine, and abnormal selected neurophysiology tests.
Most common symptoms
- Pain in the perineum, anus, rectum, vulva, clitoris, penis, or scrotum.
- Burning, stabbing, shooting, aching, tingling, or electric pain.
- Pain that is worse sitting and better standing, lying down, or sitting on a toilet seat.
- Foreign-body, swelling, or pressure sensation in the rectum or vagina.
- Urinary urgency or frequency, painful bowel movements, pain with sex, orgasm difficulty, post-ejaculatory pain, or erectile dysfunction.