Health Organization for Pudendal Education

I recently found a website (pudendalsurgery.com) that says you can get treatment in Dubai with Renaud Bollens. Has anyone used their services?

Last I heard, Bollens was overrun with European patients (they like to bike over there) and did not have much availability. He answered my WhatsApp message like 2 weeks after I sent it a year ago. I am assuming he has solved the problem by going to private practice and increasing his fees. However, I would be curious what testing he does and fees for surgery in Dubai if anyone ever goes over there. He encourages patients in USA to stay there given some of the providers are getting good results. His way of doing the procedure is safer and preserves the ligament, but he is the only one that is doing it that way.

*Edit* I read somewhere that the open version of the surgery does have some distinct benefits vs Bollens procedure. You can access certain parts better with open procedure, but generally the ligament would definitely have to be cut which is not great (1). If anyone had their sacrospinous ligament preserved by reattaching, that would be interesting to see if it made any difference. Bollens now does transgluteal as well (2).

I also saw a post about someone having piriformis syndrome surgery with him. Often, Sciatica/Piriformis Syndrome/Posterior Femoral Cutaneous Nerve (PFCN) cause similar problems, but you might know if was PFCN if pain was primarily at ischial spine (sits bone). Ironically, Antolak wants you to sit primarily on that area to relieve the pudendal nerve pain, which would just cause more pain in my case. I just took a knife and cut out a firm cushion (pharmedoc makes good ones) in the middle so my left sits bone and groin take less of my weight. You can also put ice pack with towel over it in the middle for relief. The PFCN and Pudendal have a branch that can communicate with each other making things even more complicated, so sexual activity will possibly give you PFCN or pseudo sciatica like pain. Always make sure you consult the forums and do a full differential diagnosis of all the various neuralgias and syndromes that match your symptoms list. Injections may help clarify what nerve is the biggest problem. For me, it appears to be the PFCN as far as sitting pain, but pudendal when it comes to any sexual activity or heavy lifting triggering strong groin pain and loss of sensation along pudendal nerve distribution.

1 - While not always necessary, cutting or transecting the sacrospinous ligament can be part of pudendal nerve surgery to release nerve entrapment. This procedure is performed to alleviate pressure on the pudendal nerve, which can cause pain and other symptoms according to the AZCCPP. The ligament may be cut to allow for better access to the nerve and release of surrounding scar tissue. (Source: Dr. Hibner via Google AI)

2 - His methodology now includes the laparoscopic release of the nerve from the sacrosciatic ligament to the end of Alcock’s canal. In cases where additional decompression is needed, his techniques have expanded to include a transgluteal endoscopic section of the piriformis muscle and less frequently, the release of perineal distal compression at the level of the transversalis perineal muscle and under the fundiform ligament. (Source: https://www.pudendalsurgery.com/dr-renaud-bollens_

Frank

I am not aware he is practising in Dubai.