This study is a single-center, prospective, randomized controlled trial evaluating two types of pulsed radiofrequency (PRF) treatment for patients with pudendal neuralgia. Pudendal neuralgia is a chronic neuropathic pain affecting the perineum and pelvic area, often causing significant discomfort and reduced quality of life.
Patients will be randomly assigned to receive either conventional PRF or high-voltage long-duration PRF applied to the pudendal nerve. The study aims to compare the clinical effectiveness, pain relief, and safety of the two treatment approaches. Participants will be monitored for pain improvement, functional outcomes, and any treatment-related side effects.
The study follows standard clinical procedures and all treatments are performed under sterile conditions with proper monitoring to ensure patient safety.
Adults aged 18 years or older
Diagnosis of pudendal neuralgia according to the Nantes diagnostic criteria
Followed at the Algology (Pain Medicine) outpatient clinic
Chronic pudendal neuralgia refractory to conservative treatment or intolerance to conservative therapies
Presence of pelvic organic pathologies that may cause pudendal pain
Pain limited only to the coccygeal, gluteal, or lower abdominal regions
Patients with purely paroxysmal pain, isolated pruritus, or imaging findings that fully explain symptoms
History of malignancy or autoimmune disease