Resection of perineal branch of PN after injury

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Resection of perineal branch of PN after injury

Postby Violet M » Wed Jul 05, 2017 7:39 pm

PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Re: Resection of perineal branch of PN after injury

Postby Buttercup28 » Fri Jul 21, 2017 2:20 pm

Hi Violet,

I just noticed that you posted a link to this article about the perineal branch of the PN. Is this the surgery you had?

Thanks,

Buttercup
Sudden pelvic pain onset that landed me in the ER 2x -- diagnosed with severe pelvic floor dysfunction and suspected IC. Diagnosed with pudendal neuralgia via MRI and EMG and hip impingement/labral tear on CTscan. Ran the gamut with tests, treatments, procedures, injections, drugs, etc. since then. Still on the quest for answers....
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Re: Resection of perineal branch of PN after injury

Postby Violet M » Sat Jul 22, 2017 3:03 am

No, I had the sacrospinous ligament severed and part of the falciform process of the sacrotuberous ligament shaved off. I think their was some release done in the alcock's canal also. I did not have any nerves cut.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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Re: Resection of perineal branch of PN after injury

Postby stephanies » Sat Jul 22, 2017 5:52 am

Thank you for posting this abstract. I am curious as to how they chose their patients for the procedure and study. If I am correct, it seems at least 10 of the 16 patients had injuries to the PN distal to Alcock's Canal -- the episiotomy patients and the vestibulectomy patients. The other six patients it is unclear where the injury was located. If the athletic injuries were cyclists, that also makes it possible they had injury lower on the nerve where the bike seat exerts pressure. I wonder if the pain-causing area of the nerve being located at the distal portion of the nerve may have been a factor in the improvement from this procedure, as compared to the results that may be obtained from this procedure on persons with pain from a more proximal location on the nerve, such as the at the ligaments. It is interesting to consider the location of the compression or injury with regards to treatments.
PN started 2004 from fall. Surgery with Filler Nov. 2006, Dr. Campbell April 2007. Pain decreased by 85% in 2008 (rectal and sitting pain resolved completely), pain returned in 12/13.
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Re: Resection of perineal branch of PN after injury

Postby Violet M » Mon Jul 24, 2017 8:04 pm

I think that's a good point Stephanie. If the resection was more proximal, especially proximal to other branches of the nerve, it seems like it could make things a lot worse. Also, I'm wonder how it affects sensation and motor function in the areas innervated by that resented nerve.
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
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