Pudendal neuralgia with rare symptoms hematuria and spermaturia

Authors : Dilara Çulhaoğlu Gökçek, Ülkü Türk Börü, Selin Betaş Akın

Pages : 14-17

Doi:10.55665/troiamedj.1484646

View : 28 | Download : 16

Publication Date : 2025-01-31

Article Type : Other Papers

Abstract :Pudendal neuralgia is a rare entrapment syndrome. It is characterized by symptoms such as neuropatic pain, allodynia, hyperesthesia in the pudendal innervastion area and erectile dysfunction. Rarely addi-tional symptoms like hematuria and hematospermia may manifest. Currently there is no universalla recognized treatment approach for pudendal neuralgia and management primarily focuses on symptom relief. Here we present a case with rare seen symptoms as hematospermia and hematuria. The patient presented with burning, stabbing and cutting pain localized in the scrotum, penis and peria-nal region with more pronounced symptoms experienced on the right side. Six months after the onset of pain the patient also developed symptoms of hematospermia and hematuria. Following four local lido-caine injections administered to the patient at weekly intervals, the symptoms showed a 60% improve-ment. In summary diagnosing pudendal neuralgia poses a significant challenge due to its complex nature. Its treatment options remain uncertain. However this case highlights the potential effectiveness of local analgesic injections as a treatment modality.
Keywords : pudendal nevralji, ağrı, spermatüri, hematüri