New Articles from the French on PNE
Posted: Fri Nov 26, 2010 4:41 pm
Hi everyone,
Didn't have to time to thoroughly review each abstract, but since I thought I had "IC" for so long, turns out I'm still on their emailing list, and this link was brought up along with this blurb:
Likely because of work of French pudendal nerve entrapment syndrome pioneer Professor Roger Robert, a number of articles focus on nerve damage as a source of pelvic and perineal pain and give guidance on treatment. Articles are included on nerve damage from surgery and how to manage it, how to test for nerve problems, how to use nerve blocks (which are called an integral part of pelvic and perineal pain management), and when pudendal nerve surgery is appropriate (when all other treatments have failed) and the ways it is performed.
Two articles emphasize the importance of understanding anatomy (including neuroanatomy) well, doing thorough examinations, and taking thorough patient histories so urologists can diagnose the sources of pain correctly and decide on the best treatment approaches. Another article, on the doctor-patient relationship, emphasizes that doctors should believe the patient, avoid making the patient feel responsible for failure, avoid overestimating the secondary benefits, avoid making the patient passive and dependent, learn to reinterpret the patient's symptoms, ask “how” the pain persists rather than “why,” clearly define the patient’s needs, and adapt management to realistic and accessible goals. Because pain is an emotional experience, the type of relationship the doctor has with the patient determines the quality of management, said the authors.
You can read summaries for professionals of each article in the issue at this web page http://www.sciencedirect.com/science/journal/11667087. Click on “show preview” and scroll down for the English-language summary.
Sincerely,
A's Mommy
Didn't have to time to thoroughly review each abstract, but since I thought I had "IC" for so long, turns out I'm still on their emailing list, and this link was brought up along with this blurb:
Likely because of work of French pudendal nerve entrapment syndrome pioneer Professor Roger Robert, a number of articles focus on nerve damage as a source of pelvic and perineal pain and give guidance on treatment. Articles are included on nerve damage from surgery and how to manage it, how to test for nerve problems, how to use nerve blocks (which are called an integral part of pelvic and perineal pain management), and when pudendal nerve surgery is appropriate (when all other treatments have failed) and the ways it is performed.
Two articles emphasize the importance of understanding anatomy (including neuroanatomy) well, doing thorough examinations, and taking thorough patient histories so urologists can diagnose the sources of pain correctly and decide on the best treatment approaches. Another article, on the doctor-patient relationship, emphasizes that doctors should believe the patient, avoid making the patient feel responsible for failure, avoid overestimating the secondary benefits, avoid making the patient passive and dependent, learn to reinterpret the patient's symptoms, ask “how” the pain persists rather than “why,” clearly define the patient’s needs, and adapt management to realistic and accessible goals. Because pain is an emotional experience, the type of relationship the doctor has with the patient determines the quality of management, said the authors.
You can read summaries for professionals of each article in the issue at this web page http://www.sciencedirect.com/science/journal/11667087. Click on “show preview” and scroll down for the English-language summary.
Sincerely,
A's Mommy