Clarifications about Dr. Hibner's TG surgery

[AliPasha1]

Ladies and Gentleman,
I have some clarifications from Dr. Hibner himself regarding the Modified TG procedure.

1)Dr. Hibner does transpose the nerve at the ischial spine of about 1 cm in the fatty tissue as done by Professor Robert of Nantes,France.

2)He does severe the Sacrospinous ligament to make more space for Pudendal nerve to transpose itself through the claw of the Sacrotuberous ligaments and Sacrospinous ligaments.

3)He doesn't sever the Sacrotuberous ligament like the Houston team and Professor Robert of Nantes,but cuts the Sacrotuberous ligaments 50% perpendicular to the midline axis.He then repairs 50% of the severed Sacrotuberous ligaments with cadaveric gracillis muscle tendon.The original 50% of the Sacrotuberous ligament is preserved and the rest of the Sacrotubeours ligament is later repaired with cadaveric gracillis muscle tendon for Pelvic stability.

4)He does use the neuro-wrap and Activated platelet rich plasma matrix graft in the Alcock's canal from further scarring and regeneration of the nerve.

5)I believe we are all aware of the Q-Pump.
6)None of his patients have ever reported SIJD because he repairs the Sacrotuberous ligament.
7)The Cadaver theory is a proven theory and he validated it when he did a redo on one of his patients and found the cadaver almost as strong as the original one.
8)He is going to publish his surgical results soon.
9)Even after the modified TG approach,none of us would be able to play sports like Football,soccer,running.Tennis etc because there is a great chance of damaging the nerve.Swimming and Walking are excellent exerciese for PNE patients.
10)He has validated the dorsal Nerve decompression with Dr. Aszmann and could be the missing link that why most people don't get cured after the PNE surgery,provided the axons of the nerve are not too damaged to regenerate.The myelim sheath can regenerate,but not the axons of the nerve.

Best Regards,
Ali