7 months 1 week post op in Pudendal Decompression Surgery

Revised: 10/20/2020 11:28 a.m.

  • Oct. 19, 2020, midnight
  • |
  • Public

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.

Last updated October 20, 2020

music & dogs & wine October 20, 2020

You look happier in this video :) I want to see you smile 😎

I also got a funny image of you walking down the street with just a jacket, scarf, and leg warmers on, lol. I'm gonna go ahead and assume you do not do that.

AnOrangeZebra music & dogs & wine ⋅ October 20, 2020

LMAO you are too funny. I have long skirts on usually and a hoodie and a jacket and a headband. And gym shoes, all mis matched. I look like a polish bag lady prolly.

music & dogs & wine AnOrangeZebra ⋅ October 21, 2020

LOL! Are you Polish? I am too! My mom's mom was Kolodjieski, her grandparents came to NY from Poland in the 1890's.

My last job was at a bridal gown company and we had a bunch of Polish bridal stores we sold to in Chicago. The one I remember most was Kasia'a Bridal. That bitch was a MESS and so annoying to work with.

AnOrangeZebra music & dogs & wine ⋅ October 22, 2020

I indeed am Polish. Both from my moms side (only a small %) and My dads side is 50-50 polish and slovakian. My ancestors are from the Zakopane region of polish (they were sheep hearders in the middle of nowhere) lololol. That is very cool about the bridal places!!!

music & dogs & wine AnOrangeZebra ⋅ October 22, 2020

Nice! Have you been? I would like to go some day.

OMG the bridal industry is such a mess, I would never work in it again. I used to work in the real estate industry and I thought those people were the dumbest ever, until I worked with bridal shop owners, LOL. I don't know how any of them have lived as long as they have, all stupid & entitled & rude!

You must be logged in to comment. Please sign in or join Prosebox to leave a comment.