ABSTRACT
Perineal pain when sitting may be caused by entrapment of the pudendal nerve. This is a problem we have been working on for more than 20 years. Herein, we present our experience with a special focus on pudendal nerve palsy which is, in our opinion, an entrapment syndrome in the deep areas of the buttock and a common cause of this kind of pain. We will describe anatomical findings which may help to identify different sites of possible entrapment. With these findings in mind, we found a transgluteal approach preferable, since it allows the surgeon to remove any source of compression.
