Hiber's article about surgery process

[rea]

The nerve is then decompressed along its entire length, from the piriformis muscle and as close as possible to the spinal cord, to the distal Alcock’s canal. Neurolysis is performed along each of the nerve’s branches – the inferior rectal nerve, the perineal nerve, and the dorsal clitoral nerve – until the nerve is completely free. In our practice, we most often find the nerve entrapped between the sacrospinous and sacrotuberous ligaments, which form a sort of "V" in the pelvis.
http://www.obgynnews.com/index.php?id=1 ... da03e20e36

This was dated 4-12-12
Does Hibner now do surgery on the perineal nerve branch or am I just wishful thinking?

neurolysis
1. release of a nerve sheath by cutting it longitudinally.
2. operative breaking up of perineural adhesions.
3. relief of tension upon a nerve obtained by stretching.
4. destruction or dissolution of nerve tissue.neurolyt´ic

[Violet M]

Rea, I'm not sure exactly what he means by "along each of the nerve's branches" but I think it would have to mean partially along each branch because it would be impossible to follow each of those branches clear to the end. He doesn't state specifically that he goes the entire length of each branch so my guess is that he frees each of these branches up at the juncture where they branch off of the main trunk and maybe for a slight distance after that. At some point the nerve becomes too small to perform neurolysis on it.

Violet

[rea]

Thanks Violet. My mri report does not specify exactly where the entrapment of the perineal branch was seen. Dr. Scaribas will have to contact the radiologist but I'm hesitate to call Skaribas's office to follow through. Don't have much luck with getting messages returned.