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Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Tue Jul 05, 2011 9:17 pm
by paulette
Violet,
I remember you saying you had the TIR approach. I have read that during the TG approach the pudendal nerve is transposed so that it is positioned in front of the ishial spine instead of behind. Do you know if the nerve is transposed in the TIR approach? Does anyone know how important this is????
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Wed Jul 06, 2011 12:45 am
by TinyDancer
Violet,
I am on 100 mcg. of fentanyl with percocet for break though pain. I'm not on Lyrica because my blood pressure went through the roof when I tried it.
Kate
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Fri Jul 15, 2011 4:26 am
by Violet M
paulette wrote: Do you know if the nerve is transposed in the TIR approach? Does anyone know how important this is????
Paulette, the nerve is not transposed in the TIR approach. I can't say how important this would be in all cases but it does not seem to have been very important in my case since I have improved so much.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Fri Jul 22, 2011 10:27 pm
by paulette
Violet,
You said the nerve is not transposed in the TIR approach. Was your SS ligament cut? If not, I do not see much difference between your surgery and the surgery Dr. Martin in Oklahoma performs. Thanks for the answers.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Sat Jul 23, 2011 7:43 pm
by Violet M
Paulette, yes the SS ligament on the right side was completely severed and on the left 2/3 severed.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Sun Jul 24, 2011 11:17 pm
by paulette
That is where your surgery differs from the surgery performed by Dr. Martin. At this point he does not believe it is necessary to sever any ligaments, (according to his nurse). But it seems to be important to sever at least the SS ligament. I asked Dr. Conway if he transposes the pudendal nerve after severing the SS ligament. He said all of the major pudendal nerve surgeons transpose the nerve. In fact, the nerve in most cases transposes itself to the front of the ishial spine. I found that interesting.
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Mon Jul 25, 2011 4:30 am
by Lernica
What does transpose mean?
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Mon Jul 25, 2011 6:18 am
by donstore
Transpose means to move the nerve from where it is to some place else (usually into the fat tissue in the TG approach).
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Wed Oct 05, 2011 9:23 pm
by adg1403
Hi everyone
First post in a while, mainly due to holiday ahead of the surgery, which is happening with the Bristol team next Wednesday (12th October). Thanks for all the guidance provided so far, hopefully will try and put it into practice.
Will do my best to post again as soon as I feel able post surgery.
Andrew
Re: Pudendal Nerve Decompression Surgery - post surgery reco
Posted: Wed Oct 05, 2011 11:29 pm
by Lernica
Good luck, Andrew!