All around the world, thousands—possibly millions—of people suffer in silence from chronic pelvic, perineal, or rectal pain. For many, the journey to an accurate diagnosis is long, frustrating, and filled with dead ends. Labels like pelvic pain, pelvic floor tension, prostatitis, proctalgia fugax, or chronic pelvic pain syndrome become recurring diagnoses—without anyone addressing the root cause.
In many of these cases, the real issue is rarely discussed: pudendal nerve compression.
A Hidden Diagnosis With Many Faces
The pudendal nerve is the primary nerve responsible for sensation and function in the pelvic floor, rectum, and genitals. When this nerve becomes compressed—either suddenly or over time—it can trigger a range of puzzling and often debilitating symptoms:
• Difficulty sitting for extended periods
• Burning, stabbing, or tingling sensations in the perineum
• Rectal cramps or spasms
• Discomfort when wearing tight clothing
• Pain frequently mistaken for urinary tract infections or prostate issues
The Hidden Numbers – and Common Misdiagnoses
Pudendal neuralgia is not just hard to detect—it’s frequently misdiagnosed. Many patients spend years going from specialist to specialist without getting real answers. The number of undiagnosed cases is high, and even within the medical field, awareness of pelvic nerve entrapment remains surprisingly low. The most common causes include:
• Enlarged or overactive piriformis muscle
• Prolonged sitting or cycling
• High-impact sports or overtraining
• Fat compression between the nerve and surrounding ligaments
• Previous pelvic surgery or trauma
Precision Surgery That Delivers Results
For over 20 years, Dr. Renaud Bollens has been at the forefront of diagnosing and treating these often-overlooked conditions. He is one of the few surgeons worldwide specializing in laparoscopic pudendal nerve decompression—a minimally invasive, highly targeted procedure.
Depending on the location of the compression, Dr. Bollens uses one of two surgical approaches:
• If a ligament is compressing the nerve, it is carefully released.
• If the piriformis muscle is the culprit, it is partially resected to relieve pressure.
The surgery typically lasts less than 40 minutes, and most patients experience significant improvement within 2 to 4 months.
Accessible Care in Belgium & Dubai – With Follow-up That Matters
We welcome patients at our clinics in both Belgium and Dubai. In Dubai, we also offer on-site physiotherapy to ensure a holistic rehabilitation process.
With over 600 successful surgeries performed, Dr. Bollens delivers consistent results:
• 80–85% of patients report improvement
• Minimal side effects, especially when treated early
• Short recovery time and high patient satisfaction
About Dr. Renaud Bollens
Dr. Bollens earned his medical degree from the Free University of Brussels and became a pioneer in laparoscopic surgery at the renowned Erasme Hospital. He has spoken at international conferences, published multiple peer-reviewed studies on pudendal decompression, and trains surgeons worldwide in advanced laparoscopic techniques.
His research has demonstrated clear links between pudendal nerve compression and symptoms like urinary disorders, erectile dysfunction, and rectal pain. His work is frequently cited in leading medical journals and presented at major medical congresses.
Contact Us
If you’re a patient still searching for real answers—or a healthcare provider looking to collaborate with one of the world’s leading experts—we’re here to help.
https://www.pudendalsurgery.com
We’re here to listen, to help, and to take action.
