Health Organization for Pudendal Education

Hi,
I'm curious if anyone who's had surgery got PN blocks at anytime afterwards and what were the results?
Were the blocks helpful with desensitizing the nerve? Were you able to achieve more benefits from PT?

Thanks for any experience you can share!

Kind regards,
Karyn

Hi I had bilateral TH surgery 9 weeks ago in Bristol and surgeon has not suggested anything other than gentle hip flexing exercises and gentle hydrotherapy· My nerve blocks prior to surgery really abbreviated the nerves and caused possible internal blessing so I definitely would not fancy having them at the mo· How is your recovery going how are you finding things?

I had one unguided nerve block post-op. Can't really say it did much either pro or con and actually it probably wasn't worth the risk, TBH.

Violet

The only time I had them post-op was with botox.

Thanks for your replies.
This isn't something I was considering. But I've heard from many post-op patients that their surgeons had recommended the blocks post-op; citing they may be more beneficial than the blocks they got prior to surgery. Just wondering if anyone had experienced a calming effect of the nerve, enabling them to gain more benefit from PT?

Kind regards,
Karyn

I have had 3 now, all of them guided by Dr Dainesi the first this past October, November and in early Febuary. I have found that they have helped the hypersensitivity, greatly it is still there but instead of it always feeling like a day after a 2nd degree burn ot like a fresh bruise. It still does not tolerate heat and my wife cant touch it without pain, so it is not where i would like it to be.

Durring the guided block Dr. Dainesi placed the needle and asked me to tell him when he got the the nerve. When he got there it was BAM right in the testicles. I hurt like hell when he injected the medicine. It has been similar with all of the injections from him, They have told me that you are supposed to feel intense pain at the target location, this tells them that they have the correct location. Here are the operative notes from November 2013.

It takes him less than five min for the whole procedure once they get started. The office before and waiting after the injecton are about 45 min total. The staff knows what pudendal nueropathy is but not in detail. On one occasion there was a student nurse observing and asked me questions, after a few min the nurse stopped and told the student, he knows more than me and he has it right so ask all the questions you have. So I would not expect them to be a heavy advocate to help you you need to really guide them as politley as possible.

Thank you for your response, Blight!
How long do you experience less pain from these blocks?

About triamcinolone (Kenalog):

http://www.prescriptiondrugs.com/drugs/ ... -injection

Karyn

While the injections hit the target consistently, I really don't get any relief from them, they have helped the hypersesitivity. But not the "DEEP" pain or the "kick in the nuts pain".

This is where the actual damage done to the nerve comes into question as the SS ligament scarred onto the PN. The nerve may not ever heal completely due to the scarring and not just compression.

I am now 6 months post op and just returned from having
nerve blocks with Dr Hibner due to severe "broken glass" type pain. Dr Hibner said the change in pain, now "broken glass" is nerve regeneration. I had an ultrasound guided perineal nerve block by Dr Hibner under general anesthetic. I got 24 hours of complete numbness!
I also received a CT guided pudendal nerve block by the Radiologist and also was numb for about 36 hours. Loretta felt this was more muscular due to a very aggressive physio therapist post operative at 8 weeks. I no longer go to physio but will be trying again (new physio) in 3 weeks).
My perineum is pain free but my rectal area is hurting again! Guess it is muscular?...the recommendation is to use the suppositories twice a day and have physio work very gently on the injured tight muscles.

Take care.....
Lara