Study on Perineal Pain Causes

[nomowork]

Just wondered if anyone was familiar with this study, and if any follow-up has occured. It suggests that there are other nerves involved besides the Pudendal nerve in causing perineal pain.

"Surgical and anatomical landmarks for the perineal branch of the posterior femoral cutaneous nerve: implications in perineal pain syndromes
Laboratory investigation"

It can be found here:

http://thejns.org/doi/full/10.3171/2008.11.JNS081248

[helenlegs 11]

Yes nomowork, it is on the home page here, although I don't know of any follow up to this particular study.
There are so many nerves running through the pelvis including the 3 branches of the pudendal nerve of course so it makes diagnosis extremely difficult.
I think Dr Dellon has more to say about the PFCN in his chapter 12 and does some specific pelvic nerve blocks other than pudendal. The cluneal nerves can also be involved
A newer (European) guide to chronic pelvic pain http://www.uroweb.org/gls/pdf/24_Chroni ... R%20II.pdf
gives quite a good description of other nerves that can be involved in pelvic pain in Chapter 6.
I know that the team in Nantes have done decompression surgery for the cluneal nerve (not sure which one or all??) and possibly the PCFN (not 100% about that one)
I have sciatic, pudendal, middle and inferior cluneal (probably) and PFCN nerves involved at piriformis level and hope to have surgery in France at some stage.
Take care,
Helen

[nomowork]

Thanks Helen for setting me straight on this. I've been looking around for the posting, but can't find it. Can you tell me what you are referring to by the "Home page"?

Thanks

[janetm2]

The "Home Page" is separate from this forum. To accessthe home page there is a link labeled "Goto home page" in red lettering at the top of these pages in the blue banner below the hope life preserver. Once on the home page to get back to the forum there is a link in the left column. The FAQs on the home page hhave a wealth of info.
Janet