Surgery in New Jersey for Pudendal Neuralgia: Lasting Relief for Chronic Pelvic Pain
Up to 85% of patients experience meaningful pain reduction with our advanced, minimally invasive, microsurgical approach—even after conservative treatments have failed.
What Causes Pudendal Neuralgia?
Pudendal neuralgia occurs when the pudendal nerve—responsible for sensation and muscle control in the pelvic floor, perineum, and genitals—becomes compressed, irritated, or damaged. This can happen at several points along the nerve’s pathway, including Alcock’s canal or between pelvic ligaments.
The pudendal nerve can be affected by a variety of factors, such as prolonged sitting, cycling, falls on the tailbone, childbirth, pelvic surgery, or chronic pelvic floor dysfunction. Compression can trigger burning, stabbing, numb, or aching pain that often worsens with sitting, bowel movements, urination, or intimacy.
Our nerve surgery experts routinely travel to New Jersey to offer access to advanced diagnostics and specialized surgical treatment for this complex and often misdiagnosed condition.

Check Your Symptoms: Are You Experiencing Any of the Following?
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Pelvic, perineal, or genital pain that worsens when sitting
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Burning, stabbing, numbness, or unusual temperature sensations in the pudendal nerve territory
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Pain following bowel movements, urination, or sexual activity
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A constant feeling of a lump or foreign body in the vagina or rectum
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Difficulty fully emptying the bladder or bowels, or urinary burning after urination
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Pain that builds gradually throughout the day or lingers long after activity
If you said yes to any of the above, you may be a candidate for pudendal nerve decompression surgery.
What Is Pudendal Nerve Decompression Surgery for Groin Pain?
This specialized microsurgical procedure relieves pressure on the pudendal nerve at common entrapment points. Using high-powered magnification and real-time nerve monitoring, our surgeons free the nerve from surrounding tissues or ligaments causing compression.
By releasing these pressure points, nerve health can improve and pain signals can diminish—restoring comfort, mobility, and quality of life. In properly selected candidates, up to 85% experience long-lasting relief from symptoms that have persisted for months or years.
Find Out If You’re Eligible for Pudendal Nerve Decompression Surgery in New Jersey
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What Are the Benefits of Pudendal Nerve Decompression Surgery?
Am I a Candidate for Nerve Decompression Surgery?
You may be a candidate for nerve decompression surgery if you’ve tried conservative treatments without relief and your symptoms suggest nerve compression. A nerve block or specialized imaging may help confirm the diagnosis.
You may qualify if you:
- Have pelvic, perineal, or genital pain that worsens with sitting
- Experience bowel, bladder, or sexual dysfunction without clear cause
- Had temporary relief from a pudendal nerve block
- Were misdiagnosed with IBS, vulvodynia, prostatitis, or other conditions
- Are emotionally and physically ready for surgical recovery


Why is Pudendal Neuralgia Often Misdiagnosed?
Symptoms can mimic gynecologic, urologic, colorectal, or musculoskeletal conditions. Without a nerve-focused evaluation, patients may spend years without answers. Our team specializes in identifying pudendal nerve entrapment through advanced diagnostics and multidisciplinary collaboration—bringing clarity to complex, unresolved pelvic pain cases.

Considering Nerve Decompression Surgery? What To Expect:
Precision Diagnostics
Every patient undergoes a structured pelvic nerve workup—which may include an MRI of the pelvis and lumbar spine, image-guided pudendal nerve blocks, or EMG of the lower extremities. When indicated, we coordinate with urology, gynecology, colorectal, and spine specialists to rule out overlapping causes. This systematic approach ensures that nerve compression is clearly identified—and not mistaken for muscular, GI, or pelvic organ pain.Tailored Surgery
Our nerve surgeons perform pudendal nerve decompression using advanced microsurgery techniques. This involves carefully relieving pressure on the nerve in areas where it’s most commonly trapped. We use high-powered magnification and real-time nerve monitoring to make the procedure as safe and precise as possible—so we can protect surrounding structures and maximize your chances of long-term relief.Rapid Recovery
Most procedures are done on an outpatient basis with no overnight hospital stay. Patients typically return to light activity within 2–3 weeks, with full recovery—including nerve regeneration—progressing over 6 to 12 months, depending on the severity and duration of symptoms.Why Trust The Institute of New Jersey?
Nerve-First Surgical Expertise
We lead with the nerve—treating the root cause of pelvic pain, not just the symptoms. Our team has performed hundreds of pudendal nerve decompressions, making us one of the most experienced centers in the U.S.
Proven Surgical Outcomes
Studies show up to 85% of properly selected patients experience significant relief from pudendal nerve decompression—especially when performed by specialists like those at The Institute.
Microsurgical Precision That Improves Recovery
We use advanced imaging and microsurgical techniques to minimize tissue damage and nerve irritation—helping reduce complications and support faster healing.
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Nerve Surgery Experts
Still in Pain? Let’s Fix That.
If you’re living with unresolved pelvic pain—or treating a patient who is—our team is here to help. With advanced surgical expertise and proven results, we offer real hope for lasting relief.
Now seeing patients at 30+ locations across New Jersey.
Frequently Asked Questions
Diagnosis often combines a detailed history, physical exam, MR neurography, and a positive response to an image-guided pudendal nerve block.
As with any surgery, risks include infection, bleeding, or scar tissue. However, complications are rare when performed by experienced surgeons using microsurgical techniques, like those at The Institute for Advanced Reconstruction.
Many of our patients have. If those options provided only temporary relief or no improvement, decompression surgery may offer a more lasting solution.
No. Pudendal nerve decompression is a nerve-specific procedure performed by surgeons trained in microsurgery and pelvic nerve anatomy. It is not a urologic, gynecologic, or spinal operation.
In some mild cases, symptoms may improve with rest or conservative care. But for many patients, pudendal neuralgia does not resolve on its own and may worsen over time without targeted treatment, especially if caused by ongoing nerve compression.
While no procedure can guarantee a cure, pudendal nerve decompression can significantly reduce symptoms and improve quality of life when entrapment is the primary cause.