Like the title already, 'The Comfy Bus'
The other interesting part (END) of the presentation was the alternative pelvic and abdominal shots he administers to differentiate between separate nerve problems. I don't have any abdominal pain but many others do complain of this so it's good to see what may be responsible and how they tackle these issues.
Did notice that one slide. . . . . . Failure of PNPI to relieve pain
Severe nerve compression
No amount of corticosteroids can provide therapeutic relief.
So I guess in this case the diagnosic effort is to establish PN as opposed to PNE to some extent anyway.
Helen
Fall 2008. Misdiagnosed with lumber spine problem. MRN June 2010 indicated pudendal entrapment at Alcocks canal. Diagnosed with complex variant piriformis syndrome with sciatic, pudendal and gluteal entrapment's by Dr Filler 2010.Guided piriformis botox injection 2011 Bristol. 2013, Nerve conduction test positive; new spinal MRI scan negative, so diagnosed for the 4th time with pelvic nerve entrapment, now recognised as Sciatic, pudendal, PFCN and cluneal nerves at piriformis level.
yes the presentation is very concise and clear.
I think its main success is that such presentation are necessary to build up the "interface" between neurosurgery and urology.
It is necessary that surgeons (who are brilliant as surgeons) do understand the dynamics of pelvis and urogenital processes and on the other hand, urologist should be aware that PNE or PN might be (or might be not) the underlying cause of the experienced problems.
As prof. Urban told me: pudendal neuropathy is much much more present than ordinary urologists think and on the other hand, the clear cut entrapment demanding surgery is very very rare.
I share this opinion, however each diagnosis is individual.
But all in all, presentation of Stanley Antolak from Glasgow conf. seems to me very reasonable and justified (although Antolak is sometimes perceived as a controvers person).
summer 2009 - episodic post ejaculatory pain,
early 2010- major flare-up, chronification
february 2011 - ESCW wave. major flare-up, lasting 5 months
february 2012 - diagnosed CPPS with irritation of pudendal nerve, hypog. plexus block
june 2012 - dorsal nerve block, no relief
2013 - starting PT with moderate results
2014-2017 better periods interchanging with heavy flare ups
2018 first long remission (several months)
2019-2023 most of the time almost assymptomatic with cca 2 flare ups yearly
