Shawn's Dr. Potter MRI Results

[shawnmellis]

Hi, Here is my Dr. Hollis Potter Pelvis MRI Report from 7/13/2011 It shows Varices bilaterally along the dorsal nerve path and tendinosis of the adductor muscles which attach to the pubic bone, which may be the cause of my entrapment, since when I injured myself, I felt a snap and pull in this adductor muscle area that attaches to my pelvis.


MRI of the pelvis
MRI of the pelvis was performed with attention to the pudendal nerve utilizing coronal and oblique axial inversion recovery follwed by coronal, sagital and axial fast spin echo techniques. Clinical concern is pudendal neuropathy. The patient reports left-sided testicular and scrotal pain, centrally urethral and penile pain, as well as discomfort in the perineum globally.

The coccyx is seen at midline without scarring of the anococcygeal ligament. The sacrospinous and sacrotuberous ligament appear symmetric. There is no scar formation surrounding the ligaments or in the posterior margin of the Alcock's canal. Superficial transverse perineal muscle appears symmetric, as are the bulbospongiosus and ischiocavernosus muscles. Levator ani muscle appears symmetric. The obturator nerves appear unremarkable. No scar formation is seen to surround the inferior perineal branches of the pudendal nerves to the perineal region.

There are slightly prominent veins surrounding the dorsal nerves to the penis, more prominent on the left than on the right, seen on series 7 images 13 and 14. This is also noted on series 4 image 15 and 16. Small foci of diminished signal intensity in the anterior margin of the prostate are noted, possible small prostatic calcifications. There is no regional adenopathy.

The sciatic nerves lie anterior to the piriformis muscle and do not pierce the piriformis muscle. Anteriorly, the genitofermoral and ileal in the inguinal nerves appear unremarkable. There is no bulky synovitis in the hip joints. No bursitis is seen. There is mild thickening of both greater trochanteric bursa. Hamstrings are symmetric.

There is some resorption of the inferior margin of the pubic symphysis with chronic bilateral adductor tendinosis.

Impression:

MRI of the pelvis demonstrates no scar formation appreciated around the pudendal nerves, either at the level of the sacrospinous and sacrotuberous ligaments or in the Alcock's Canal(Pudendal Canal) , extending to the floor of the pelvis. There are small varices noted following the dorsal nerves to the penis bilaterally, left greater than right.

[flyer28]

Hallo Shawn,
it seems that I am suffering under similar conditions like you, I wrote about it in previous entries.
I am waiting for my 3T MRI of pelvis scheduled for 9. November.
Is there any option when enlarged veins are pressing the dorsal nerve?
Did you consult this with dr. Aszmann who is doing dorsal nerve decompression?
Is there any conservative tool how to calm down those enlarged viens?
Matt

[carolynm]

Shawn,
What about considering Dr. Hibner's dorsal nerve injections? He said some of his patients have had lasting results, and that if he sees a varices, he can inject it with a sclerosing substance.
I think it sounds like a good option for you

cari