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Bladder Pain Syndrome pp 87–102Cite as

Neurophysiology of Pelvic Pain Mechanisms

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Abstract

Sensation is a perception made by an individual related to a stimulus that occurs in the body.

Sensory stimuli elicited by different events, as from nociception, are conducted through well-specified nervous fibers and nervous tracts. But the sensory experience from them is by definition always subjective and thus special for every single individual and condition.

In chronic pelvic pain several neurophysiologic events occur. Neuroplasticity and different hypersensitivity mechanisms will develop peripherally and centrally, explaining why treatment needs often to be multiple. Knowledge on pelvic organ cross talk is to be developed further. Nociceptive pain and neuropathic pain can be present. Pudendal neuropathy is one specific part of the latter.

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Author information

Authors and Affiliations

  1. Department of Urology, University Hospital Antwerp and Antwerp University, Edegem, Belgium

    Jean-Jacques Wyndaele M.D., D.Sci., Ph.D.

  2. Clinical Neurophysiology, Clinical Neurophysiology and Biomechanics of Pelvic Floor Dysfunctions, Milan, Italy

    Silvia Malaguti M.D.

Authors
  1. Jean-Jacques Wyndaele M.D., D.Sci., Ph.D.
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  2. Silvia Malaguti M.D.
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Corresponding author

Correspondence to Silvia Malaguti M.D. .

Editor information

Editors and Affiliations

  1. University of Copenhagen, Department of Urology, Herlev Hospital, Herlev, 2730, Denmark

    Jørgen Nordling

  2. University Hospital Antwerp, Department of Urology, and Antwerp University, Edegem, 2650, Belgium

    Jean Jacques Wyndaele

  3. and Internal Medicine, Erasmus MC,, Departments of Immunology, University Medical Center Rotterdam, Rotterdam, 3141 XW, Netherlands

    Joop P. van de Merwe

  4. Koege Hospital, Department of Clinical Biochemistry, University of Copenhagen, Copenhagen, 4600, Denmark

    Pierre Bouchelouche

  5. Department Obstetrics and Gynecology, Department of Urogynecology S.Carlo-IDI, Catholic University, Rome, 00165, Italy

    Mauro Cervigni

  6. Institute of Clinical Sciences, Department of Urology, Sahlgrens Academy at University of Gothenburg, Göteborg, 41345, Sweden

    Magnus Fall

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Wyndaele, JJ., Malaguti, S. (2013). Neurophysiology of Pelvic Pain Mechanisms. In: Nordling, J., Wyndaele, J., van de Merwe, J., Bouchelouche, P., Cervigni, M., Fall, M. (eds) Bladder Pain Syndrome. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-6929-3_6

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