Yes, IBS is related... I think I understand what you mean, searching some sort of pshycosomatic interpretation, relaxment, physio-mental-terapy, Wise-Anderson protocol, ecc... I tried in part this way but I did not feel any better. One can always argue that I am not committed enough but I simply don't believe in it.
PS: I accumulate about 200 or more psycotheray sessions along the years, altough generic ones.
I talked with the "pain therapy" doctor in my country to discuss the situation and take some advice, she is very heplful and accept the fact that other specilaist foow me too.
She haven't specific knowledge about pudendal neuralgia but general experience in pain therapy and management and suggest to try pulsed radiofrequncy (it will applicate on sacral roots) and Scrambler therapy. I will do it but only just for a try...
2004 Urethral burnings, chronic prostatitis diagnosis, unuseful drugs. Lately added chronic pelvic contracture.
2011 Pudendal Neuralgia diagnosis, nerve blocks and oral drugs.
2013 Two neuromodulation surgeries.
2016 Possover negate Pudendal Neuralgia (no pain elicited on rectal exploration), says problem is more central but MRI- neurography show nothing.
2017 De Bisshop found Oedema/hyperpressure and neurological abnormal response on intrapiriform area, most on sx.
Failed injection blocks.