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There is no one cause of pudendal neuralgia. It may be related to: 1  Childbirth trauma. 2  Gynaecological or colo-rectal surgery. 3  Cycling. 4  Excessive physical exercise. 5  Past pelvic or perineal trauma. 6  Injury. 7  Straining.
Pudendal nerve entrapment is another form of pudendal neuralgia. This condition causes phantom pain (pain related to an area that isnât actually part of the body) in the lower regions of the pelvis, penis and scrotum, vulva, anus, and perineum.he nerve extends from the sacral plexus, through the pudendal canal, the perineum, and the gluteal area. These are structures located near the genital, rectal, and gluteal (buttock) regions. The condition known as pudendal neuralgia can cause both bladder and anal incontinence.