6 months post op! in Pudendal Decompression Surgery

  • Sept. 12, 2020, 4:42 p.m.
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What is pudendal Neuralgia?

PN is pain, discomfort or numbness in the distribution of the pudendal nerve. The pudendal nerve is a peripheral nerve that is the main nerve of the pelvis/ pelvic floor. The pudendal nerve emerges from the S2, S3, and S4 roots’ ventral rami of the sacral plexus. It carries sensory, motor, and autonomic fibers, however an injury to the pudendal nerve causes sensory deficits more than motor. These areas include the rectum, anus, urethra, perineum, and genital area. In women this includes the clitoris, mons pubis, vulva, lower 1/3 of the vagina, and labia. In men this includes the penis and scrotum. But often pain is referred to nearby areas in the pelvis. The symptoms can start suddenly or develop slowly over time. Typically pain gets worse as the day progresses and is worse with sitting. The pain can be on one or both sides depending on which nerve fibers and which nerve branches are affected. The skin in these areas may be hypersensitive to touch or pressure (hyperesthesia or allodynia). This is a chronic/ lifelong issue that can severely affect a persons quality of life and there are no simple treatment options.

What is pudendal nerve entrapment syndrome?

Pudendal nerve entrapment or PNE… is pain caused by a mechanical compression/ entanglement of the pudendal nerve between ligaments or scar tissue. Usually the sacrotuberous ligament and or the sacrospinous ligament. The only way to really definitively tell if you have a nerve entrapment is via surgery although some other specified imaging techniques which are able to image/ doppler where there is a hold up/ issue with nerve within scar tissue. This phenomenon is still debated and under studied. Pudendal decompression surgery is how this issue is diagnosed/seen. There are a few doctors who perform the surgery in the USA, but in Europe there are more options in terms of surgical techniques and experience. Please visit www.pudendalhope.com for more information.

The pudendal nerve entrapment syndromes subdivide into four types based on the level of compression.
Type I - Entrapment below the piriformis muscle as the pudendal nerve exits greater sciatic notch.
Type II - Entrapment between sacrospinous and sacrotuberous ligaments - this is the most common cause of nerve entrapment.
Type III - Entrapment in the Alcock canal.
Type IV - Entrapment of terminal branches.

Mamie September 12, 2020

❤️vee September 12, 2020

I hope this is a solution, or at least something of a step forward to being better!

ps. you are definitely not a burden to me, I am totally cool with hanging out with you wherever you are able!

AnOrangeZebra ❤️vee ⋅ September 12, 2020

Aww. You're so sweet love, thank you. I really am trying to be cautiously optimistic, but at times i getting too excited that this could be IT. My parents want me to get a second opinion which im going to do but at this point ill do anything to try and get out of this bullshit i feel even if its the wrong answer. =-(

music & dogs & wine September 12, 2020

I hope you can get a new diagnosis soon :) And that the sun comes out so you can enjoy being outside!

You're still beautiful and I am still jealous of your skin! That sounded creepy, but you know, you have gorgeous skin!

AnOrangeZebra music & dogs & wine ⋅ September 12, 2020

Aww that is so sweet, thank you. Nah Not creepy. I wish my body felt as good as it looked. I have been told numerous times that I have the body of a runway model. I liken it to a luxury car that you have to keep in the garage because the parts are recalled. LOL.

music & dogs & wine AnOrangeZebra ⋅ September 12, 2020

Lucky you! Aside from the recall part :)

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