{"id":8093,"date":"2026-02-05T09:36:35","date_gmt":"2026-02-05T08:36:35","guid":{"rendered":"https:\/\/blueportance.com\/pudendal-nerve-anatomy\/"},"modified":"2026-10-25T22:43:33","modified_gmt":"2026-10-25T21:43:33","slug":"pudendal-nerve-anatomy","status":"publish","type":"page","link":"https:\/\/blueportance.com\/en\/knowledge-base\/expert-guides\/sitting-related-pain\/pudendal-neuralgia\/pudendal-nerve-anatomy\/","title":{"rendered":"KB_Pudendal Nevralgia_01 : Pudendal Nerve Anatomy"},"content":{"rendered":"\n\n<!-- BDC \u2014 Pudendal Neuralgia \u2014 Chapter 1: Functional anatomy and neuromechanics of the pudendal nerve \u2014 Blue Portance -->\n\n<style>\n  .bp-bdc-wrap {\n    max-width: 980px;\n    margin: 0 auto;\n    padding: 0 16px 48px;\n    color: #222;\n    line-height: 1.65;\n  }\n\n  .bp-bdc-breadcrumb {\n    max-width: 900px;\n    margin: 0 auto;\n    padding: 20px 16px 0;\n    font-size: .85rem;\n    color: #6b7280;\n  }\n\n  .bp-bdc-breadcrumb a {\n    color: #2a7fba;\n    text-decoration: none;\n  }\n\n  .bp-bdc-breadcrumb a:hover {\n    text-decoration: underline;\n  }\n\n  .bp-bdc-hero {\n    max-width: 900px;\n    margin: 30px auto 0;\n  }\n\n  .bp-bdc-hero h1 {\n    margin-bottom: 18px;\n    line-height: 1.2;\n  }\n\n  .bp-bdc-meta {\n    margin-top: 22px;\n    padding: 12px 16px;\n    background: #f4f8fb;\n    border-left: 4px solid #2a7fba;\n    color: #52606d;\n    font-size: .9rem;\n  }\n\n  .bp-bdc-toc {\n    max-width: 900px;\n    margin: 34px auto;\n    padding: 22px 26px;\n    background: #f7fafc;\n    border: 1px solid #e1e8ee;\n    border-radius: 10px;\n  }\n\n  .bp-bdc-toc h2 {\n    margin-top: 0;\n  }\n\n  .bp-bdc-toc a {\n    color: #1e73be;\n  }\n\n  .bp-bdc-content {\n    max-width: 900px;\n    margin: 0 auto;\n  }\n\n  .bp-bdc-content h2 {\n    margin-top: 48px;\n    padding-bottom: 8px;\n    border-bottom: 2px solid #d9e8f5;\n    line-height: 1.3;\n  }\n\n  .bp-bdc-content h3 {\n    margin-top: 32px;\n    line-height: 1.35;\n  }\n\n  .bp-bdc-content p {\n    margin: 0 0 18px;\n  }\n\n  .bp-bdc-content ul,\n  .bp-bdc-content ol {\n    margin-bottom: 22px;\n  }\n\n  .bp-bdc-content li {\n    margin-bottom: 10px;\n  }\n\n  .bp-bdc-box {\n    margin: 26px 0;\n    padding: 20px 24px;\n    border-radius: 10px;\n  }\n\n  .bp-bdc-box--soft {\n    background: #f4f8fb;\n    border: 1px solid #d9e8f5;\n  }\n\n  .bp-bdc-box--warning {\n    background: #fff8ed;\n    border-left: 4px solid #f39c12;\n  }\n\n  .bp-figure {\n    margin: 30px auto;\n    padding: 0;\n    text-align: center;\n  }\n\n  .bp-figure img {\n    display: block;\n    width: 100%;\n    max-width: 900px;\n    height: auto;\n    margin: 0 auto;\n  }\n\n  .bp-figure figcaption {\n    margin-top: 12px;\n    color: #59636e;\n    font-size: .92rem;\n    text-align: left;\n  }\n\n  .bp-bdc-navigation {\n    margin-top: 44px;\n    padding: 22px 24px;\n    background: #f7fafc;\n    border: 1px solid #e1e8ee;\n    border-radius: 10px;\n  }\n\n  .bp-bdc-navigation a {\n    color: #1e73be;\n  }\n\n  .bp-bdc-footer {\n    margin-top: 28px;\n    padding: 18px 20px;\n    background: #fff8ed;\n    border-left: 4px solid #f39c12;\n    font-size: .92rem;\n  }\n\n  .bp-bdc-copyright {\n    font-size: .85em;\n    color: #6b7280;\n    margin-top: 22px;\n  }\n\n  .bp-reference-note {\n    color: #59636e;\n    font-size: .9rem;\n  }\n\n  .bp-bdc-level {\n    display: inline-block;\n    margin: 0 6px 6px 0;\n    padding: 3px 8px;\n    border-radius: 999px;\n    background: #eaf3f9;\n    color: #245f85;\n    font-size: .78rem;\n    font-weight: 700;\n    letter-spacing: .02em;\n  }\n\n  @media (max-width: 700px) {\n    .bp-bdc-wrap {\n      padding-left: 12px;\n      padding-right: 12px;\n    }\n\n    .bp-bdc-box {\n      padding: 18px;\n    }\n  }\n<\/style>\n\n<nav class=\"bp-bdc-breadcrumb\" aria-label=\"Breadcrumb\">\n<a href=\"\/en\/\">Blue Portance<\/a> \u2192 <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/\">Knowledge Base<\/a> \u2192 <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/expert-guides\/sitting-related-pain\/\">Sitting-Related Pain<\/a> \u2192 <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/expert-guides\/sitting-related-pain\/pudendal-neuralgia\/\">Pudendal Neuralgia<\/a> \u2192 Pudendal Nerve Anatomy\n<\/nav>\n\n<section class=\"bp-bdc-wrap\">\n\n  <header class=\"bp-bdc-hero\">\n\n    <h1>\n      Functional Anatomy and Neuromechanics of the Pudendal Nerve\n    <\/h1>\n\n    <p>\n      Understanding pudendal neuralgia requires starting with the anatomy of\n      the pudendal nerve and its relationships with the pelvic structures. The\n      pudendal nerve is primarily a mixed somatic nerve: it carries sensory and\n      motor fibers supplying the perineal region, the anal region, and the\n      external genitalia\n      (Kinter &amp; Newton, 2023; Zapletal et al., 2024).\n    <\/p>\n\n    <p>\n      Its complex course, its relationships with the pelvic ligaments, its\n      passage close to the ischial spine, and its path through the pudendal\n      canal (Alcock\u2019s canal) are important anatomical elements for understanding\n      certain forms of pudendal pain. These relationships may contribute to a\n      mechanical vulnerability, but they do not, on their own, demonstrate the\n      presence of a pathological compression\n      (Robert et al., 1998; Zapletal et al., 2024).\n    <\/p>\n\n    <p>\n      This page distinguishes three levels of interpretation: established\n      anatomical data, the general mechanical consequences related to how a\n      peripheral nerve functions, and then the functional hypotheses proposed\n      by the SBNFA\u2122 framework. This distinction helps connect anatomy\n      to the variability of symptoms without turning a plausible mechanism into\n      an individual diagnosis.\n    <\/p>\n\n    <div class=\"bp-bdc-meta\">\n      Blue Portance Knowledge Base \u00b7 Non-commercial reproduction permitted with\n      citation of the source\n    <\/div>\n\n  <\/header>\n\n  <nav class=\"bp-bdc-toc\" aria-label=\"Table of contents\">\n\n    <h2>Table of Contents<\/h2>\n\n    <ul>\n      <li>\n        <a href=\"#origines\">\n          1. Nerve root origins and neurofunctional role\n        <\/a>\n      <\/li>\n\n      <li>\n        <a href=\"#trajet\">\n          2. A complex pelvic course\n        <\/a>\n      <\/li>\n\n      <li>\n        <a href=\"#branches\">\n          3. Terminal branches and innervated territories\n        <\/a>\n      <\/li>\n\n      <li>\n        <a href=\"#fascias\">\n          4. The nerve in its fascial environment\n        <\/a>\n      <\/li>\n\n      <li>\n        <a href=\"#reserve\">\n          5. Adaptive reserve: a functional model\n        <\/a>\n      <\/li>\n\n      <li>\n        <a href=\"#references\">\n          Scientific references\n        <\/a>\n      <\/li>\n    <\/ul>\n\n  <\/nav>\n\n  <article class=\"bp-bdc-content\">\n\n    <section id=\"origines\">\n\n      <h2>1. Nerve root origins and neurofunctional role<\/h2>\n\n      <p>\n        The pudendal nerve usually arises from the ventral rami of the sacral\n        roots <strong>S2, S3, and S4<\/strong>. It belongs to the sacral plexus and\n        behaves as a mixed peripheral nerve, containing mainly sensory and motor\n        fibers\n        (Kinter &amp; Newton, 2023; Zapletal et al., 2024).\n      <\/p>\n\n      <p>\n        Its sensory fibers contribute to the innervation of the perineal region,\n        the anal margin, the lower part of the anal canal, and the external\n        genitalia. Its motor fibers innervate, in particular, the external anal\n        sphincter, the external urethral sphincter, and several muscles of the\n        perineum (Kinter &amp; Newton, 2023).\n      <\/p>\n\n      <p>\n        It is important to distinguish the pudendal nerve from the pelvic\n        visceral autonomic pathways. The parasympathetic fibers supplying, in\n        particular, the bladder, the rectum, and the internal genital organs\n        travel mainly through the pelvic splanchnic nerves and the pelvic\n        plexuses. They should not be attributed indiscriminately to the pudendal\n        nerve.\n      <\/p>\n\n      <p>\n        The pudendal nerve can nevertheless be involved in certain urinary,\n        anorectal, and sexual functions through its somatic role in the external\n        sphincters, the perineal muscles, and sensation in the external genital\n        region. Involvement of the nerve can therefore produce sensory, motor, or\n        sexual symptoms without necessarily implying a lesion of the organ\n        concerned\n        (Aoun et al., 2021; Kinter &amp; Newton, 2023).\n      <\/p>\n\n      <div class=\"bp-bdc-box bp-bdc-box--soft\">\n\n        <strong>Key point<\/strong>\n\n        <p>\n          The pudendal nerve is primarily a somatic motor and sensory nerve\n          arising from S2 to S4. It contributes to control of the external\n          sphincters, to the innervation of several perineal muscles, and to\n          sensation in the anoperineal and external genital region.\n        <\/p>\n\n      <\/div>\n\n    <\/section>\n\n    <section id=\"trajet\">\n\n      <h2>2. A complex pelvic course<\/h2>\n\n      <p>\n        The pudendal nerve follows a looping course around the ischial spine.\n        After forming within the sacral plexus, it generally leaves the pelvis\n        through the greater sciatic notch.\n      <\/p>\n\n      <p>\n        It then runs close to the sacrospinous ligament and the ischial spine\n        before returning to the perineal region through the lesser sciatic\n        notch. It then accompanies the internal pudendal vessels within the\n        pudendal canal, also known as Alcock\u2019s canal\n        (Robert et al., 1998; Kinter &amp; Newton, 2023;\n        Zapletal et al., 2024).\n      <\/p>\n\n      <p>\n        The pudendal canal corresponds to a splitting of the fascia covering the\n        obturator internus muscle. The nerve therefore does not run through an\n        isolated bony tunnel, but through an anatomical interface associated with\n        muscular, vascular, and fascial structures.\n      <\/p>\n\n      <p>\n        Several zones may be of clinical interest: the region of the ischial\n        spine, the space between the sacrospinous and sacrotuberous ligaments,\n        the pudendal canal, and certain zones where the terminal branches\n        divide. Anatomical variations exist, particularly regarding the origin\n        and course of the inferior rectal nerve\n        (Robert et al., 1998; Zapletal et al., 2024).\n      <\/p>\n\n      <p>\n        These relationships may contribute to the nerve\u2019s vulnerability in\n        certain situations. They do not, however, allow one to conclude that a\n        given posture systematically causes nerve compression or nerve injury.\n      <\/p>\n\n      <figure class=\"bp-figure\">\n\n        <img decoding=\"async\"\n          src=\"https:\/\/blueportance.com\/wp-content\/uploads\/IMG_NP_Vulnerability-zones.jpg\"\n          alt=\"Pudendal nerve: anatomical course and main zones of potential vulnerability\"\n          loading=\"lazy\">\n\n        <figcaption>\n          <strong>\n            Course and zones of potential vulnerability of the pudendal nerve.\n          <\/strong>\n          The nerve passes close to several ligamentous and muscular structures\n          before reaching the pudendal canal. These relationships may become\n          relevant in certain situations, but the image alone does not allow one\n          to conclude that there is compression or pathological involvement\n          (Robert et al., 1998; Zapletal et al., 2024).\n        <\/figcaption>\n\n      <\/figure>\n\n    <\/section>\n\n    <section id=\"branches\">\n\n      <h2>3. Terminal branches and innervated territories<\/h2>\n\n      <p>\n        The pudendal nerve usually gives off several main branches. The classic\n        description includes the inferior rectal nerve, the perineal nerve, and\n        the dorsal nerve of the penis or clitoris. The order and level of\n        branching may vary between individuals\n        (Kinter &amp; Newton, 2023; Zapletal et al., 2024).\n      <\/p>\n\n      <h3>3.1 Inferior rectal nerve<\/h3>\n\n      <p>\n        The inferior rectal nerve runs medially across the ischioanal fossa. It\n        contributes to the motor innervation of the external anal sphincter and\n        carries sensory information from the lower part of the anal canal and\n        the perianal region\n        (Kinter &amp; Newton, 2023).\n      <\/p>\n\n      <h3>3.2 Perineal nerve<\/h3>\n\n      <p>\n        The perineal nerve divides into superficial and deep branches. It\n        contributes to the sensory innervation of the skin of the perineum and\n        of the scrotum or labia majora, as well as to the motor innervation of\n        several perineal muscles and of the external urethral sphincter\n        (Kinter &amp; Newton, 2023).\n      <\/p>\n\n      <p>\n        Perineal or external genital pain may therefore be consistent with\n        irritation of a pudendal branch. This location alone, however, cannot\n        determine the exact level of involvement.\n      <\/p>\n\n      <h3>3.3 Dorsal nerve of the penis or clitoris<\/h3>\n\n      <p>\n        The dorsal nerve of the penis or clitoris is a predominantly sensory\n        terminal branch. It contributes to sensation in the external genitalia\n        and carries information related to touch, pressure, and sexual\n        stimulation.\n      <\/p>\n\n      <p>\n        Erectile and genital functions, however, result from the interaction of\n        several somatic and autonomic pathways. It would therefore be incorrect\n        to attribute the entire sexual response to the pudendal nerve alone\n        (Aoun et al., 2021).\n      <\/p>\n\n      <p>\n        The distribution of the pudendal branches may explain why irritation\n        located along the course of the nerve is felt in a more distal region.\n        It is nevertheless preferable to speak of pain distributed within a\n        nerve territory rather than to assert that the perceived location\n        necessarily corresponds to the exact level of the lesion.\n      <\/p>\n\n    <\/section>\n\n    <section id=\"fascias\">\n\n      <h2>4. The nerve in its fascial environment<\/h2>\n\n      <p>\n        <span class=\"bp-bdc-level\">ESTABLISHED DATA<\/span>\n        <span class=\"bp-bdc-level\">MECHANICAL INTERPRETATION<\/span>\n      <\/p>\n\n      <p>\n        The pudendal nerve is not isolated from the pelvic tissues. It runs in\n        relation to the muscles, ligaments, vessels, and fascia of the region.\n        The pudendal canal, in particular, is formed by the fascia associated\n        with the obturator internus muscle\n        (Robert et al., 1998; Zapletal et al., 2024).\n      <\/p>\n\n      <p>\n        A peripheral nerve is not merely an anatomical structure passing through\n        a space. It is a living tissue that must adapt to the changes in position\n        and length associated with movement. This adaptation relies, in\n        particular, on its capacity for relative displacement \u2014 or gliding \u2014\n        with respect to its connective-tissue sheaths and the surrounding\n        tissues, as well as on its capacity to undergo strain within limits\n        compatible with its function.\n      <\/p>\n\n      <p>\n        Gliding therefore does not mean that the nerve moves freely within an\n        empty conduit. It refers to the relative mobility required between\n        several tissues that are interconnected but not immobile with respect to\n        one another. Along the pudendal course, this mechanical requirement takes\n        on particular significance because of the nerve\u2019s changes of direction\n        and its relationships with the ligaments, the obturator internus muscle,\n        and its fascia.\n      <\/p>\n\n      <p>\n        When the position of the pelvis, the hips, or the perineal tissues\n        changes, stress is not borne by a single isolated point: it is\n        distributed throughout this neuro-musculo-fascial complex. The relative\n        mobility of the interfaces thus contributes to local adaptation to\n        movement and to variations in support. This general mechanical\n        interpretation cannot, however, be used to assert that a loss\n        of gliding is present in a given person.\n      <\/p>\n\n      <p>\n        The concept of fascial entrapment neuropathy proposes that a change in\n        the connective-tissue microenvironment may influence a nerve\u2019s relative\n        mobility, local stress distribution, and its tolerance to repeated\n        loading. An alteration of this relative mobility is therefore a\n        plausible mechanism in certain entrapment neuropathies. This model is\n        general and does not constitute a specific demonstration of fascial\n        densification or of a loss of pudendal nerve gliding in a given patient\n        (Stecco, Pirri &amp; Stecco, 2019).\n      <\/p>\n\n      <p>\n        Fascial densification must also be distinguished from fibrosis.\n        Densification is described as a possible change in the mechanical\n        properties of loose connective tissue, whereas fibrosis corresponds to\n        a more structural change in collagen organization\n        (Pavan et al., 2014).\n      <\/p>\n\n      <div class=\"bp-bdc-box bp-bdc-box--soft\">\n\n        <strong>Key takeaways<\/strong>\n\n        <p>\n          <strong>General mechanism:<\/strong> a peripheral nerve must retain a\n          capacity for mechanical adaptation and relative displacement with\n          respect to the tissues surrounding it. <strong>Application to the\n          pudendal nerve:<\/strong> its course makes the influence of these\n          interfaces plausible. <strong>Individual limitation:<\/strong> pain, or\n          normal imaging, cannot on its own confirm or rule out a loss of\n          gliding, fascial densification, or dynamic compression.\n        <\/p>\n\n      <\/div>\n\n    <\/section>\n\n    <section id=\"reserve\">\n\n      <h2>5. Adaptive reserve: a functional model<\/h2>\n\n      <p>\n        <span class=\"bp-bdc-level\">SBNFA\u2122 HYPOTHESIS<\/span>\n      <\/p>\n\n      <p>\n        The SBNFA\u2122 framework uses the notion of <strong>adaptive reserve<\/strong>\n        to designate the functional margin available to a living system to\n        absorb and redistribute everyday stresses and recover from them, without\n        these stresses translating into lasting symptoms or a loss of function.\n      <\/p>\n\n      <p>\n        Applied to the environment of the pudendal nerve, this reserve does not\n        reside in the nerve alone. It depends on the whole formed by the nerve,\n        its connective-tissue interfaces, the muscles, the fascia, the joints of\n        the pelvis and hips, as well as the regulatory mechanisms of the nervous\n        system. It can draw on four complementary capacities:\n      <\/p>\n\n      <ul>\n        <li>\n          <strong>adapting mechanically<\/strong> to changes in tissue position\n          and length;\n        <\/li>\n        <li>\n          <strong>redistributing stress<\/strong> across several support points\n          and several interfaces rather than concentrating it over time;\n        <\/li>\n        <li>\n          <strong>varying the loading<\/strong> through postural adjustments and\n          micro-movements;\n        <\/li>\n        <li>\n          <strong>recovering<\/strong> between two periods of loading.\n        <\/li>\n      <\/ul>\n\n      <p>\n        This interpretation therefore links the relative mobility of tissues,\n        the variability of support, the repetition of stress, and recovery.\n        Adaptive reserve is not a fixed quantity: it can vary according to the\n        intensity and duration of loading, muscle tension, nerve sensitivity,\n        sleep, general health, and the real possibilities for changing\n        position.\n      <\/p>\n\n      <p>\n        A person may tolerate a sitting posture or an activity for a certain\n        length of time, then develop symptoms when the load is repeated,\n        intensifies, continues without sufficient variation, or combines with\n        other factors. Conversely, a change in support, a better possibility of\n        adjustment, or a period of recovery may improve tolerance without this\n        demonstrating that a lesion has disappeared. The model thus aims to make\n        intelligible the cumulative, fluctuating, and reversible nature of\n        certain symptoms.\n      <\/p>\n\n      <p>\n        From this perspective, pain can be understood as the expression of an\n        interaction between peripheral stress, local adaptive capacity,\n        recovery, and the sensitivity of the nervous system. A decrease in\n        adaptive reserve then means that the same load becomes more difficult to\n        manage; it designates neither an injured structure nor a measurable\n        anatomical threshold.\n      <\/p>\n\n      <p>\n        The notion is thus a functional reasoning tool specific to the SBNFA\u2122\n        framework. It helps formulate three questions: Which stresses are repeated?\n        What possibilities for variation or redistribution are available? Is\n        recovery sufficient before the next loading?\n        It does not correspond to an anatomical structure or to a clinical\n        measure validated by a single test.\n      <\/p>\n\n      <div class=\"bp-bdc-box bp-bdc-box--warning\">\n\n        <strong>Important caution<\/strong>\n\n        <p>\n          The adaptive reserve model is neither a diagnostic criterion for\n          pudendal neuralgia nor proof of nerve compression or nerve distress.\n          Nor does it allow one to infer directly that a structural lesion,\n          inflammation, or fascial densification is present. It should be used\n          to structure the analysis, as a complement to an appropriate clinical\n          evaluation.\n        <\/p>\n\n      <\/div>\n\n    <\/section>\n\n    <section id=\"references\">\n\n      <h2>Scientific references<\/h2>\n\n      <div class=\"bp-bdc-box bp-bdc-box--soft\">\n\n        <ol>\n\n          <li>\n            <strong>\n              Robert R, Prat-Pradal D, Labat JJ, Bensignor M, Raoul S, Rebai R,\n              Leborgne J.\n            <\/strong>\n            Anatomic basis of chronic perineal pain: role of the pudendal nerve.\n            <em>Surgical and Radiologic Anatomy<\/em>.\n            1998;20(2):93\u201398.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.1007\/BF01628908\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.1007\/BF01628908\n            <\/a>.\n            <br>\n            <a\n              href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9658526\/\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              View PubMed record\n            <\/a>\n          <\/li>\n\n          <li>\n            <strong>\n              Labat JJ, Riant T, Robert R, Amarenco G, Lefaucheur JP, Rigaud J.\n            <\/strong>\n            Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment\n            (Nantes criteria).\n            <em>Neurourology and Urodynamics<\/em>.\n            2008;27(4):306\u2013310.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.1002\/nau.20505\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.1002\/nau.20505\n            <\/a>.\n            <br>\n            <a\n              href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17828787\/\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              View PubMed record\n            <\/a>\n          <\/li>\n\n          <li>\n            <strong>Kinter KJ, Newton BW.<\/strong>\n            Anatomy, Abdomen and Pelvis: Pudendal Nerve.\n            In:\n            <em>StatPearls<\/em>.\n            Treasure Island: StatPearls Publishing.\n            Updated 2023.\n            <br>\n            <a\n              href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554736\/\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              View NCBI Bookshelf record\n            <\/a>\n          <\/li>\n\n          <li>\n            <strong>\n              Zapletal J, Nanka O, Halaska MJ, Maxova K, Hajkova Hympanova L,\n              Krofta L, et al.\n            <\/strong>\n            Anatomy of the pudendal nerve in clinically important areas:\n            a pictorial essay and narrative review.\n            <em>Surgical and Radiologic Anatomy<\/em>.\n            2024;46(2):211\u2013222.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.1007\/s00276-023-03285-7\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.1007\/s00276-023-03285-7\n            <\/a>.\n            <br>\n            <a\n              href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38240796\/\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              View PubMed record\n            <\/a>\n          <\/li>\n\n          <li>\n            <strong>\n              Aoun F, Alkassis M, Abi Tayeh G, Abi Chebel J, Semaan A, Sarkis J,\n              Mansour R, Mjaess G, Albisinni S, Absil F, Bollens R,\n              Roumegu\u00e8re T.\n            <\/strong>\n            Sexual dysfunction due to pudendal neuralgia:\n            a systematic review.\n            <em>Translational Andrology and Urology<\/em>.\n            2021;10(6):2500\u20132511.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.21037\/tau-21-13\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.21037\/tau-21-13\n            <\/a>.\n            <br>\n            <a\n              href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34295736\/\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              View PubMed record\n            <\/a>\n          <\/li>\n\n          <li>\n            <strong>\n              Pavan PG, Stecco A, Stern R, Stecco C.\n            <\/strong>\n            Painful connections: densification versus fibrosis of fascia.\n            <em>Current Pain and Headache Reports<\/em>.\n            2014;18(8):441.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.1007\/s11916-014-0441-4\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.1007\/s11916-014-0441-4\n            <\/a>.\n          <\/li>\n\n          <li>\n            <strong>\n              Stecco A, Pirri C, Stecco C.\n            <\/strong>\n            Fascial entrapment neuropathy.\n            <em>Clinical Anatomy<\/em>.\n            2019;32(7):883\u2013890.\n            DOI:\n            <a\n              href=\"https:\/\/doi.org\/10.1002\/ca.23388\"\n              target=\"_blank\"\n              rel=\"noopener\">\n              10.1002\/ca.23388\n            <\/a>.\n          <\/li>\n\n        <\/ol>\n\n        <p class=\"bp-reference-note\">\n          The anatomical and clinical references above do not demonstrate that\n          fascial densification, a loss of gliding, or dynamic compression\n          explains every case of pudendal pain. They help\n          distinguish established anatomical data from the functional models\n          proposed in the literature.\n        <\/p>\n\n      <\/div>\n\n      <div class=\"bp-bdc-box bp-bdc-box--warning\">\n\n        <strong>Blue Portance internal reference<\/strong>\n\n        <p>\n          The notion of adaptive reserve belongs to the SBNFA\u2122 framework developed\n          by Blue Portance. It should be presented as an internal conceptual\n          framework and not as a validated anatomical or medical criterion.\n        <\/p>\n\n        <p>\n          Proposed internal reference:\n        <\/p>\n\n        <ul>\n          <li>\n            Blue Portance. Mod\u00e8le SBNFA\u2122 \u2014\n            <em>\n              Neuro-anatomie, partie I :\n              anatomie fonctionnelle du nerf pudendal\n            <\/em>\n            [SBNFA\u2122 Framework \u2014 Neuroanatomy, Part I: Functional Anatomy of the\n            Pudendal Nerve].\n            2026.\n          <\/li>\n        <\/ul>\n\n      <\/div>\n\n    <\/section>\n\n    <div class=\"bp-bdc-navigation\">\n\n      <strong>Navigation<\/strong>\n\n      <p>\n        <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/expert-guides\/sitting-related-pain\/pudendal-neuralgia\/\">\n          \u2190 Back to the Pudendal Neuralgia hub\n        <\/a>\n        <br>\n\n        <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/expert-guides\/sitting-related-pain\/\">\n          \u2190 See the topic: Sitting-Related Pain\n        <\/a>\n        <br>\n\n        <a href=\"https:\/\/blueportance.com\/en\/knowledge-base\/\">\n          \u2190 Explore the Knowledge Base\n        <\/a>\n      <\/p>\n\n    <\/div>\n\n    <footer class=\"bp-bdc-footer\">\n\n      <strong>Note:<\/strong>\n      this content aims to present anatomical data and functional hypotheses\n      concerning the pudendal nerve. It does not constitute a medical\n      diagnosis, a therapeutic recommendation, or proof that a fascial\n      mechanism alone explains pudendal pain.\n\n    <\/footer>\n\n    <p class=\"bp-bdc-copyright\">\n      \u00a9 Gil Ayache. The concepts, diagrams, terminology, and principles presented on this page constitute a work protected by copyright. They are made available to Blue Portance under an intellectual property license agreement, without transfer of economic rights or of authorship.\n    <\/p>\n\n  <\/article>\n\n<\/section>\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>Blue Portance \u2192 Knowledge Base \u2192 Sitting-Related Pain \u2192 Pudendal Neuralgia \u2192 Pudendal Nerve Anatomy Functional Anatomy and Neuromechanics of the Pudendal Nerve Understanding pudendal neuralgia requires starting with the anatomy of the pudendal nerve and its relationships with the pelvic structures. The pudendal nerve is primarily a mixed somatic nerve: it carries sensory and [&#8230;]\n","protected":false},"author":6,"featured_media":0,"parent":8099,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_yoast_wpseo_title":"Pudendal Nerve Anatomy and Pathway | Blue Portance","_yoast_wpseo_metadesc":"Functional anatomy of the pudendal nerve: roots, pathway, branches, and vulnerability zones involved in pudendal neuralgia.","footnotes":""},"pathologie_secondaire":[],"effet_positif":[],"class_list":["post-8093","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pudendal Nerve Anatomy and Pathway | Blue Portance<\/title>\n<meta name=\"description\" content=\"Functional anatomy of the pudendal nerve: roots, pathway, branches, and vulnerability zones involved 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