Pudendal nerve

Nervus pudendus

NervousNervesPelvisLeft and right

View left in 3D View right in 3D

What it is
Arises from S2-S4, leaves the pelvis through the greater sciatic foramen, hooks around the sacrospinous ligament at the ischial spine, re-enters through the lesser sciatic foramen and runs forward in the pudendal (Alcock) canal on the wall of the ischioanal fossa, giving the inferior rectal, perineal and dorsal penile nerves.
Function
Motor to the external anal and urethral sphincters and the perineal muscles; sensation from the anus, perineum and external genitalia - the nerve of continence and sexual sensation.
Size
About 3 mm thick; ~15 cm long
Clinical note
A pudendal block at the ischial spine is used in childbirth and perineal repairs; long-distance cyclists can compress it on the saddle, causing genital numbness.