Abstract

Pudendal neuralgia is a chronic pain whose target treatment has not yet been discovered (Andiman et al., 2025). Pelvic pudendal neuralgia is neuropathic pain affecting the pelvic region, often associated with lesions or dysfunctions of the pudendal nerve. This chronic pain is frequently due to a pelviperineal canal syndrome. Labat et al 2010. This disorder, observed mainly in men, is associated with anatomical, physiological and biomechanical factors.

Pudendal neuralgia is a rare but disabling neuropathic condition characterised by chronic pain in the pudendal nerve territory. Although it affects both men and women, it remains under-diagnosed and often poorly managed due to its complex aetiology and lack of awareness among healthcare professionals (Robert et al., 2020). In this context, midwives, as sexual and reproductive health professionals, play a central role in identifying, supporting and referring patients suffering from chronic pelvic pain, including pudendal neuralgia.

In addition, the midwife's approach is characterised by active listening, continuity of the carer-patient relationship and comprehensive management of the patient's bodily, emotional and sexual experiences (Delvaux et al., 2018).  Because of their close relationship with women, particularly in perinatal care or sexual health, midwives are often in the front line in detecting signs suggestive of pudendal neuralgia: exacerbated pain in the sitting position, dyspareunia, problems with micturition or defecation (Labat et al., 2017). It can thus contribute to early referral to specialised structures (algology, pelvic physiotherapy, nerve surgery) and take part in the patient's therapeutic education.

In addition, the midwife's educational and supportive role is essential in limiting diagnostic errors, improving quality of life and reducing the psychosocial isolation often associated with chronic pain. Better integration of midwives into networks.

In conclusion, the integration of midwives into dedicated care networks optimises patient pathways. Targeted training in pelvic neuropathic pain, combined with close collaboration with centres of reference, could improve standards of care.

keywords: Pudendal neuralgia, Midwife,  pelvic pain,Pudendal block, Multidisciplinary management.