MRI and scarring

[Pelvis Stressly]

That's why most people become impotent after prostate cancer surgery and chemotherapy treatment.

That's different though Ali...in those cases there's a clear reason (necessary but intrusive surgery) for the nerve damage. Generally speaking though, for more 'naturally' occurring cases of entrapment/compression (ie. via normal life activities like cycling, weightlifting, childbirth, etc.), the pudendal nerve is relatively more exposed/at risk.

[AliPasha1]

Agreed.

[Pelvis Stressly]

On another note, I'm finally re-doing that pudendal angiography (this time with the intracavernous injection) tomorrow morning...will let you know how it goes.
Take care, PS.

[AliPasha1]

Good luck.
Give my Regards to Dr. Kim.


Regards,
Ali

[Pelvis Stressly]

Thanks.
Not having it done in Boston though...going to an interventional radiologist here in Toronto.

[scaredgal]

I'd also be curious to find out about any chemical agent that can break up scar tissue - if an injectible (ie., something similar to Wydase) could be injected into the areas that are found to have scar tissue around the nerve, wouldn't that be preferable to surgery, since surgery can cause additional scar tissue? Wonder what type of doctor you would consult to have this done?

[A's Mommy]

I'm interested, too, in that chemical agent. Let me know if you find out anything.

PS: Good look with your repeat angiogram.

AM

[Karyn]

Best wishes with your angiogram, PS!
Warm regards,
Karyn

[RJR]

OL folks...my2 cents.

Having a brief conversation with Dr Potter may be worth much to separate the wheat (key findings) from the chaf (inconsequential scarring). She told me that my R STL was very deformed and contrasted greatly from my L STL.
RR

Potter MRI findings in Oct
-Right STL deformed and scarred and a dilated vein in posterior Alcock’s…”both compress the R Pudendal nerve”
-Mild scarring in the pelvic floor

Surgical Findings in Nov
-Area of most severe compression of Pudendal nerve at scarred Sacrotuberous ligament;
-Some narrowing at entrance of Alcock’s canal; Noted dilated vein in superior part of nerve…not ligated

[AliPasha1]

RJR,
I would say that her findings are 100% accurate.It's a matter of Medical wording which Radiologists use vs Surgeons Post Surgical Report.But this is the best accurate imaging reporting I have seen so far of the pudendal Nerve.Also,her analysis maybe be a little off ,but her accuracy of where the problems is quite accurate.

Regards,
Ali