Health Organization for Pudendal Education

I have a friend who just had PN and sciatic nerve surgery from Dr. Martin in Oklahoma City. I have to say I am very impressed. The surgery was done endoscopically. This meant he was able to check out not only her sciatic nerve and pudendal nerve but also the posterior femoral cutaneous nerve. He ended up releasing the PFCN, the PN, and the sciatic nerve.How is that for getting your money's worth? He cut the SS ligament and transposed the nerve anteriorly. His rehab protocol is equally impressive, (I think). He has her using what is called a motion machine every four hours, and he already has her doing PT. He told her to bend forward several times a day in order to stretch the hamstrings. Dr. Martin has a unique perspective in that he is a hip surgeon and knows the mechanics of the pelvis well.

I believe Dr. Conway did everything that could be done for my nerve, but I am wondering if Dr. Martin's approach to rehab would benefit me. I wanted to share this information with everyone, because there are so few surgeons that do this surgery. Maybe Dr. Martin's approach will prove to be successful. In fact, I feel sure it will.

Hi Paulette I am so glad you posted this. I am so excited about Dr Martins endoscopic approach and I'm glad that your friend is doing well so far. I saw that she posted that her pudendal nerve was stuck to the bone!! but thankfully he managed to free it. Apparently both her sciatic nerve and pudendal nerve were white but 'pinked up' during the surgery.
I know that Dr M has had good success with sciatic decompression due to pelvic entrapment and has now added the pudendal nerve decompression (and whichever other pelvic nerve was a problem ???) I wonder how low can he go?
I also like his approach to post surgery physio with the passive motion machine provided. I should think recovery from endoscopic surgery should be that bit easier, let's hope so.

Hi, Helen,
Thank you for adding some info to my post. I think the fact that Dr. Martin can see many of the nerves in the pelvis during one surgery is a big plus. It would be interesting to know if his rehab can be used for someone who has had the open TG approach. Might have to wait until the incision has healed. But the motion machine is supposed to prevent the formation of scar tissue, so I would think it would be important to use it early.

Nice to hear from you, Paulette! How are you feeling?

Also, what's endoscopic surgery?

How is your post op recovery going Paulette ? I know that your numbness was a great concern for you. Given the unfortunate state of your nerve, that Dr Conway found, has there been any improvement?

I want to hear about Paulette's progress too!!!!!

xo

Very interesting information. I knew this was coming for Dr. Martin, but wasn't up on the specifics.

I hope he continues to see more successful pudendal surgeries. I'm not sure he knows what he's getting into in regards to the number of patients that may soon be contacting his office!

Personally, I've been happy with him as my hip surgeon.

Lauren

Thanks for all the inquiries on my progress. Unfortunately, right now I am in too much pain to respond. Too much time standing at the computer. Or maybe it was because I used my right arm to reach a shelf and put away a plate. i will try to write in a couple of days.

Paulette,
I'm sure you post will generate a great deal of interest in Dr. Martin. Does he decide his point of entry from the MRI or does he evaluate with the endoscope ? Maybe you can get your friend to post further on her experience with Dr. Martin and how how she is doing post-op. Otherwise let us know how she is doing and how you are doing when you are up to it. Did Dr. Conway find entrapment that matched your MRI ? Take care of yourself and be kind to yourself with the meds while you are recovering. Wishing you all the best.

Don

Lernica,
Endoscopic procedures are guided by a tiny camera on the end of a small tube. The surgical part is done thru robotic tools that are feed thru the tube and visualized on a video monitor.

Helen,
Could you direct me to the post on Dr. Martin by Paulette's friend. Thanks.

So endoscopic surgery only uses one port - one incision, that is? That's amazing.