Perineal Numbness and Erectile Dysfunction

Pudendal nerve compression syndrome, also known as Alcock syndrome, is a cluster of symptoms most commonly described in long-distance or long-term bicyclists. It is chiefly characterized by varying degrees of decreased sensation of the perineum, decreased glandular and penile sensation, weakened/absent erections, diminished/difficult orgasms, and occasional voiding symptoms. In this entry, perineal numbness and pain syndromes from injury to the pudendal nerve are discussed, particularly as they relate to erectile dysfunction (ED).

In recent years, many advances have been made in the understanding and ...