The CUPP was established in 2003
to continue the work with pudendal neuralgia that Dr. Antolak
pioneered during his practice at a major clinic in Rochester,
Minnesota. In order to serve more patients Dr. Antolak moved
his practice to Medical Advanced Pain Specialists and CUPP closed
in March 2008.
Pudendal neuralgia occurs in both
genders. It is a diagnosis that requires careful attention to
patient symptoms. There are several neuropathic causes of pelvic
pain. Specific examinations will guide in determining the patient's
problem.
Thorough evaluation will precede
treatment. If pudendal neuralgia is diagnosed, a three-step
treatment program is recommended. Pudendal neuralgia can cause
bladder problems, sexual dysfunction and rectal complaints.
Questionnaires are used to monitor pain levels and organ dysfunction.
Presentations about multiple aspects
of Pudendal Neurapothy were given in China in 2008 and France
in 2009.
These are provided for your review.
Click Here
In April 2008 Dr. Antolak was invited
to China to give a series of discussions on several aspects
of pudendal neuropathy. The presentations, given in Shanghai
and Nanjing,are included on the publications
page in the English language versions. All presentations
were also projected simultaneously in Chinese. For most of the
several hundred Chinese health professionals in attendance,
these presentations were their first introduction to the importance
of pudendal neuropathy in pelvic pain and bladder, bowel and
sexual complaints.
Provence:
Urologic symptoms and Interstitial Cystitis in Pudendal Neuropathy
Interstitial Cystitis symptoms
are common in both genders who have diagnosed pudendal neuropathy.
Symptoms are now called the painful bladder syndrome. The presentation
in Aix-en-Provence defines three neuropathies that cause painful
bladder complaints. Patient symptoms respond to treatment of
each of these nerve problems.
1. Pudendal neuropathy
2. Maigne syndrome (posterior ramus syndrome; thoracolumbar
junction syndrome).
3. Middle cluneal neuropathy (episacroliac lipoma; back mouse).
