CENTER FOR UROLOGIC AND PELVIC PAIN

Specializing in evaluation, diagnosis and treatment of:

· Chronic pelvic and urogenital pain

· Urological diseases

· Male infertility

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.

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).