Health Organization for Pudendal Education

Thank you Catherine for all that wonderful info, and I saw your presentation on youtube and it was great!

Violet M wrote:
As you can see in this picture http://en.wikipedia.org/wiki/File:Gray320.png where the ST ligament attaches to the bone at the bottom of the pelvis toward the center of the pelvis, that is the falciform process. It is near the alcock's canal.

I know you posted this a while ago Violet but I have only just noticed it. That picture is great and is very helpful, thanks. Usually they show the pelvis from a side on angle.

Thanks Catherine for asking the questions at the conference.

Thank Catherine for your report back.

Just wanted to add to Dr. Bautrant's comments about children and PN symptoms. There are some kids that get easily constipated -- I see them in my job. So I would not jump to any conclusions about potty-training woes or child abuse if a child presents with PN symptoms -- there can be other causes.

According to Gray's Anatomy the falciform process is the widened part of the ST ligament where it attaches to the bone. So when Dr. Bautrant says he does not cut the ST ligament that means he does not cut it clear across as in the TG surgery but it's my understanding that he shaves off some of the fibers of the ST ligament at the falciform process in the Alcock's canal. I hope this answers your question, Ali.

Catherine,
Thank you very much for the detailed report.

Violet M wrote:Thank Catherine for your report back.

Just wanted to add to Dr. Bautrant's comments about children and PN symptoms. There are some kids that get easily constipated -- I see them in my job. So I would not jump to any conclusions about potty-training woes or child abuse if a child presents with PN symptoms -- there can be other causes.

I agree. There can be many causes for pelvic pain in children even if the problem is purely muscular. This theory just seems like speculation to me. I would point out that there is no evidence to prove the rarely speculated link between child abuse and pelvic pain.