Anatomy and Generalities of the Pelvic Nerves, Neuropelveology, A Discipline for the Management and Approach of Chronic Pelvic Pain: Review of the Literature

Abstract

nerve injuries associated with chronic pelvic pain (CPP), which is the main symptom for which patients seek gynecology services.CPP affects multiple organs due to the connection of the intrapelvic organs and their innervation with the autonomic and somatic nerve plexuses. Therefore, NP involves a multidisciplinary approach, primarily neurological, gynecological, neurosurgical, urological, and colorectal. Objective: To understand the general aspects of NP and its application in CPP. Methods: A systematic search was conducted in Pubmed using the following keywords: Neuropelveology, chronic pelvic pain, and pelvic nerves. The inclusion criteria were as follows: availability of the text and original and review articles with publication dates from 2008 to 2023, excluding articles that were not in English and not indexed. Results: We described the most important endpoints of NP found in the literature and made a table to understand the importance of NP in CPP.