Re: Any Dr. Aszmann Success Stories Out There?
Posted: Mon Feb 27, 2012 9:09 pm
Here are my updates:
1. A week ago (21.2) I was at prof. Urban at his Pelvic pain centre Androgeos in Prague. I had pretty bad pain in January/early February. he palpated all my pelvic floor once again with those results: very painful pelvic muscles, coccyx and even prostate. When he palpated prostate I felt quite bad pain and my pain at the base of penis and along penis was much worse. On the other hand, Alcock canals were not particularly painful. He said that my case is obviously more related to chronic pelvic pain than to any type of entrapment of pudendal nerve. Then he did pre-sacral block - at the inferior hypogastric plexus. He did it without guidance stating that risk is pretty low and the chance to hit n. pudendus is out of question. So I agreed to do that. It came without any complictaion. Next day the pain was worse, but still bearable. From the 3rd day till now the pain is lower. I feel my bulbocavernous and ischiocavernosus to be little bit "worn out", sensitive, but no debilitating pain anymore. Last few days I am functioing 90% normal, like any other people.
So till now I consider that hypogsatric block to be succesful, We will see during the next weeks the long-term outcome. But the fact, that my prostate was painfull and palpation even worsened that perineum/penile pain gives me hint, that maybe the prostate is the culprit and not the pudendus particularly. prof. Urban recommended turf spa, trigger point therapy and some other conservative management.
2. Today I had an appointment with prof. Aszmann in Vienna, I told him about everything above and he agreed that prof. Urban and I might be right in that conclusion. Initially he indicated that there is some "fibrotic thickening" in the right dorsal canal at MRI, but he said that this finding is border-line, so no evident proof. He said that maybe even healthy people might show such indication of certain thickening, without any reason to find it pathological. He suggested that I can contact him after 4-6 weeks, and if I am interested in either Alcock or Distal dorsal nerve block, his radiologist can do that with ultrasound guidance, in order to minimise the risk (prof. Urban makes only finger guided blocks and does not adress dorsal particularly). Aszmann was glad that I am doing quite well right now and does not feel any need of operation for me.
1. A week ago (21.2) I was at prof. Urban at his Pelvic pain centre Androgeos in Prague. I had pretty bad pain in January/early February. he palpated all my pelvic floor once again with those results: very painful pelvic muscles, coccyx and even prostate. When he palpated prostate I felt quite bad pain and my pain at the base of penis and along penis was much worse. On the other hand, Alcock canals were not particularly painful. He said that my case is obviously more related to chronic pelvic pain than to any type of entrapment of pudendal nerve. Then he did pre-sacral block - at the inferior hypogastric plexus. He did it without guidance stating that risk is pretty low and the chance to hit n. pudendus is out of question. So I agreed to do that. It came without any complictaion. Next day the pain was worse, but still bearable. From the 3rd day till now the pain is lower. I feel my bulbocavernous and ischiocavernosus to be little bit "worn out", sensitive, but no debilitating pain anymore. Last few days I am functioing 90% normal, like any other people.
So till now I consider that hypogsatric block to be succesful, We will see during the next weeks the long-term outcome. But the fact, that my prostate was painfull and palpation even worsened that perineum/penile pain gives me hint, that maybe the prostate is the culprit and not the pudendus particularly. prof. Urban recommended turf spa, trigger point therapy and some other conservative management.
2. Today I had an appointment with prof. Aszmann in Vienna, I told him about everything above and he agreed that prof. Urban and I might be right in that conclusion. Initially he indicated that there is some "fibrotic thickening" in the right dorsal canal at MRI, but he said that this finding is border-line, so no evident proof. He said that maybe even healthy people might show such indication of certain thickening, without any reason to find it pathological. He suggested that I can contact him after 4-6 weeks, and if I am interested in either Alcock or Distal dorsal nerve block, his radiologist can do that with ultrasound guidance, in order to minimise the risk (prof. Urban makes only finger guided blocks and does not adress dorsal particularly). Aszmann was glad that I am doing quite well right now and does not feel any need of operation for me.