patient-login Make a Referral
CALL US: 954-256-5301
Schedule A Consultation
pay-bill-icon
    patient-login Make a Referral
    CALL US: 954-256-5301
    Schedule A Consultation

    What Causes Pelvic Outlet Syndrome?

    Pelvic Outlet Syndrome happens when nerves in the lower pelvis—especially the pudendal nerve—become compressed or irritated. The pudendal nerve controls sensation and function in the genitals, rectum, and perineum (the area between the genitals and the anus). When the pudendal nerve is compressed or irritated, it can lead to a painful condition known as pudendal neuralgia, causing sharp, burning, or aching pain with sitting, intimacy, or everyday movement. This type of nerve compression can result from injury, surgery, prolonged sitting, or even childbirth.

    Our nerve surgery experts routinely travel to Florida to provide patients with access to the most advanced diagnostic tools and surgical care available for pelvic nerve conditions.

    Watch The Video to Learn More 

    Get Evaluated
    whatcauses3

    Check Your Symptoms: Are You Experiencing Any of the Following?

    • Pain in the groin or pressure when sitting, especially on hard surfaces
    • Burning, stabbing, or numb sensations in the pelvic or genital area
    • Pain after bowel movements, urination, or sexual activity
    • A constant feeling of “something there”—like you’re sitting on a foreign object
    • Trouble emptying your bladder or bowels
    • Pain that worsens throughout the day or after prolonged activity
    If you said yes to any of the above, you may be a candidate for nerve decompression surgery.
    Book a Consultation

    What is Nerve Decompression Surgery for Groin Pain?

    Nerve decompression is a precise, microsurgical procedure designed to relieve pressure on nerves that are compressed within the pelvic outlet (the lower area of the pelvis). In patients with pudendal neuralgia, the pudendal nerve is carefully freed from surrounding tissues that may be pressing on it or causing irritation. By releasing this pressure, the nerve can begin to heal—reducing pain, restoring function, and improving quality of life. 

    Many patients experience relief from symptoms like burning pelvic pain, pain with sitting or intimacy, numbness, and chronic discomfort that disrupts daily life. In the right candidates, up to 85% report significant and lasting improvement, even after years of unsuccessful treatment.
    Find Out If You’re Eligible for Pelvic Outlet Syndrome Surgery in Florida
    Schedule an Evaluation

    See How We’re Changing Lives,
One Patient at a Time

    Chris’s Story: Pelvic Nerve Decompression for Chronic Pelvic Pain Relief
    chrisstory
    “After surgery, I was up and walking that night. The pain was minimal at most.”
    Lauryn’s Story: Nerve Decompression After UTI Pain Misdiagnosis
    lauren story
    “Please have faith—this doesn’t have to be the rest of your life.”
    Robert’s Story: Nerve Decompression After Prostate Cancer and Radiation Damage
    robertstory
    “I’m telling you—it’s a life-changing situation.”

    What Are the Benefits of Nerve Decompression Surgery?

    Pelvic Outlet Syndrome (T2)_icon-sitting-in-chair
    Get back to sitting, driving, and working comfortably.
    Pelvic Outlet Syndrome (T2)_icon-hands-and-heart
    Reconnect with loved ones without pain interfering.
    Pelvic Outlet Syndrome (T2)_icon-thumbs-up
    Feel confident and at ease during intimacy.
    Pelvic Outlet Syndrome (T2)_icon-person-riding-bike
    Break free from the cycle of failed treatments and frustration.

    Am I a Candidate for Nerve Decompression Surgery?

    You may be a candidate for nerve decompression surgery if you’ve tried conservative treatments without relief and your symptoms suggest nerve compression. A nerve block or specialized imaging may help confirm the diagnosis.

    You may qualify if you:

    • Have pelvic, perineal, or genital pain that worsens with sitting
    • Experience bowel, bladder, or sexual dysfunction without clear cause
    • Had temporary relief from a pudendal nerve block
    • Were misdiagnosed with IBS, vulvodynia, prostatitis, or other conditions
    • Are emotionally and physically ready for surgical recovery
    Get Qualified
    Am I a Candidate for Nerve Decompression Surgery
    Why is Pelvic Outlet Syndrome Often Misdiagnosed

    Why is Pelvic Outlet Syndrome Often Misdiagnosed?

    Pelvic Outlet Syndrome can mimic gynecologic, urologic, or gastrointestinal disorders—making it difficult to identify without specialized testing. Many patients arrive at The Institute of Florida after working closely with trusted providers, but still without answers. We specialize in identifying nerve entrapment as an often-overlooked source of pelvic pain—particularly in patients who haven’t found answers through traditional evaluations. By collaborating across specialties, we combine advanced diagnostic tools with deep expertise in peripheral nerve disorders to bring clarity to even the most complex, unresolved cases.

    Why is Pelvic Outlet Syndrome Often Misdiagnosed

    Considering Nerve Decompression Surgery? What To Expect:

    Precision Diagnostics

    Every patient undergoes a structured pelvic nerve workup—which may include an MRI of the pelvis and lumbar spine, image-guided pudendal nerve blocks, or EMG of the lower extremities. When indicated, we coordinate with urology, gynecology, colorectal, and spine specialists to rule out overlapping causes. This systematic approach ensures that nerve compression is clearly identified—and not mistaken for muscular, GI, or pelvic organ pain.

    Tailored Surgery

    Our nerve surgeons perform pudendal nerve decompression using advanced microsurgery techniques. This involves carefully relieving pressure on the nerve in areas where it’s most commonly trapped. We use high-powered magnification and real-time nerve monitoring to make the procedure as safe and precise as possible—so we can protect surrounding structures and maximize your chances of long-term relief.

    Rapid Recovery

    Most procedures are done on an outpatient basis with no overnight hospital stay. Patients typically return to light activity within 2–3 weeks, with full recovery—including nerve regeneration—progressing over 6 to 12 months, depending on the severity and duration of symptoms.

    Why Trust The Institute of Florida?

    Why Trust The Institute of Florida

    Nerve-First Surgical Expertise

    We lead with the nerve—treating the root cause of pelvic pain, not just the symptoms. Our team has performed hundreds of pelvic nerve decompressions, making us one of the most experienced centers in the U.S.

    Proven Surgical Outcomes

    Studies show up to 85% of properly selected patients experience significant relief from pudendal nerve decompression—especially when performed by specialists like those at The Institute.

    Microsurgical Precision That Improves Recovery

    We use advanced imaging and microsurgical techniques to minimize tissue damage and nerve irritation—helping reduce complications and support faster healing.

    Meet Florida’s Top
    Nerve Surgery Experts

    Chris Lakhiani, MD, FACS
    Chris Lakhiani, MD, FACS
    • 300 + Pelvic & Peripheral Nerve Reconstructions
    • National Lecturer On Pudendal Neuralgia
    Read Bio
    Ahmed Nasser, MD
    Ahmed Nasser, MD
    • 150+ Occipital Nerve and Diaphragm Procedures
    • Specialist in Complex Nerve Compression Syndromes
    Read Bio
    Joseph Dayan, MD, MBA
    Joseph Dayan, MD, MBA
    • 250+ Flap Transfers
    • Pioneer In Lymphatic Surgery For Breast Cancer Survivors
    Read Bio
    Tzvi Small, MD, FACS
    Tzvi Small, MD, FACS
    • 300+ Core and Pelvic Nerve Procedures
    • National Leader in Sports Hernia and Pudendal Neuralgia Surgery
    Read Bio

    Still in Pain? Let’s Fix That.

    If you’re living with unresolved pelvic pain—or treating a patient who is—our team is here to help. With advanced surgical expertise and proven results, we offer real hope for lasting relief.

    Now seeing patients in Ft. Lauderdale and Boynton Beach.

    Book a Consult

    Frequently Asked Questions

    What are the red flags for pelvic pain that may suggest a nerve problem?
    Pain that worsens with sitting, sharp or burning sensations in the pelvic area, pain with intimacy, numbness, or pain that hasn’t improved with physical therapy or medications may point to a nerve-related issue like pudendal neuralgia.
    How do I know if my pelvic pain is nerve-related?

    If your symptoms worsen with sitting, occur after bowel movements or intimacy, or involve numbness or tingling, you may have pudendal nerve compression. A diagnostic nerve block can help confirm this.

    What are the risks of pudendal nerve surgery?

    As with any surgery, risks include infection, bleeding, or scar tissue. However, complications are rare when performed by experienced surgeons using microsurgical techniques, like those at The Institute for Advanced Reconstruction.

    What if I’ve already tried pelvic floor therapy or injections?

    Many of our patients have. If those options provided only temporary relief or no improvement, decompression surgery may offer a more lasting solution.

    Is this the same as a spinal or gynecologic surgery?

    No. Pudendal nerve decompression is a nerve-specific procedure performed by surgeons trained in microsurgery and pelvic nerve anatomy. It is not a urologic, gynecologic, or spinal operation.

    Will pudendal neuralgia go away on its own?

    In some mild cases, symptoms may improve with rest or conservative care. But for many patients, pudendal neuralgia does not resolve on its own and may worsen over time without targeted treatment, especially if caused by ongoing nerve compression.

    Will surgery cure pelvic outlet syndrome?

    Surgery is not guaranteed to “cure” the condition, but in experienced hands, pudendal nerve decompression can significantly reduce symptoms and improve quality of life. Many patients experience lasting relief—especially when the nerve is the primary cause of pain.