Health Organization for Pudendal Education

Wasn't there an upcoming conference where one of members was going to attend and ask Dr Bautrant all these questions?

If we could add a question, it would be why can't you use the neurawrap or platelet rich matrix graft in the TIR surgery? Or, if the entrapment is only at Alcocks (lower), why cant they go through the area between the perineum and the sit bone so as to avoid possible contamination from the vagina or rectum?

I may not know all the medical anatomy, but if I could, I'd fly my butt to the IPPS annual conference in Istanbul and demand answers!!!

Hi A'mom,

I have sent you a post yesterday but as I am a new French member I have put it in the "WELCOME part".
Could you have a look at it and try to answer my questions.

I do hope you feel better since you have had surgery.

Kind regards
Iris

A's Mommy wrote:Wasn't there an upcoming conference where one of members was going to attend and ask Dr Bautrant all these questions?

If we could add a question, it would be why can't you use the neurawrap or platelet rich matrix graft in the TIR surgery? Or, if the entrapment is only at Alcocks (lower), why cant they go through the area between the perineum and the sit bone so as to avoid possible contamination from the vagina or rectum?

Catherine is attending the conference and I'm sure she will be reporting back.

Bautrant purposely does not touch the nerve during surgery because he thinks it just traumatizes it more. The nerve is not as exposed in the TIR surgery.

Shafik and Beco use the perineal approach for PNE surgery. The problem is, it's difficult to know for sure ahead of time if you are only entrapped at alcock's.

Well, since my 3Tesla showed bilateral entrapment at Alcock's, L greater than R, and I've had the TG on the L, and it matched the MRI, should I go through a whole entire TG again?

Or, do I run the risk of reentrapment with a perineal approach? I'm 99% positive I'm entrapped just at Alcock's... Potter's MRI matched Hibner's findings. See, I really only want to go to Hibner cause I trust him and I know he decompressed my entire nerve, but the TG recovery is rough and the nerve is handled a LOT.

Such frustration --- I just wish I could snap my fingers and wake up out of this bad dream.

I am wondering if after Dr. Hibner's trip to Austria, he might expand his surgical repertoire to include the TIR/perineal/distal options. I've read so much about the entrapments at SS/ST and the fact that it seems that is where a majority of the problems are found. However, the more I study about this, the more I doubt this is all that is going on . If the traditional TG surgery seldom offers a 100% cure (it may help up to 60% to some degree or another, but very few at 100%) - then something else is going on - whether that something is distal entrapments, a nerve too damaged to be repaired, central sensitization, etc.

I hope he does!!! Not that I don't trust I won't get better from my TG on the left, it's just that I would have to go through it again! It is rough! I ain't lying!!!!