Health Organization for Pudendal Education

Ali I am sorry to hear you are having trouble
It seems a lot of the guys on here have been told their penile issues are due to the dorsal nerve, but isn't the anatomical equivalent in the female the clitoris, and are females with clitoral symptoms also being diagnosed with dorsal nerve issues? Or is the nerve distribution not equivalent in the female?

Not good Ali, you must be so tired from it all when you have tried so hard for some solutions. Hope things improve for you and soon.
Take care,
Helen

To Helenlegs:
I guess that the slow onset (I had several times pain at the base of penis for 1-2 weeks and then it faded away) points to the fact that my dosal nerve is not truly entrapped, but only considerably irritated. After so called ESW wave it became chronic, though with some really good periods with only weak pain (this summer e.g.).
I am planning a visit at prof. Urban in Prague, who has experiences with various pudendal/dorsal neuropathies. After that I will probably ask dr.Aszmann to do 3Tesla MRI, which should shed some additional light on the issue. I strongly believe that there is no need to intervene Alcock canal, because all my problems are more dostal (no perineal pain, no sitting pain).
Matt

Flyer28,
Do you mean ESW as shockwave therapy? Do you feel that it aggravated your condition?
A few forum members tried this therapy and I am not aware of improvements from it but I was not aware that it can make you worse.

yes, it clearly aggravated my pain. the pain became shooting, cruel and persistent.
The area around the base of penis is very sensitive and my urologist would not recommend any application of ESW in that region /pity that I was not consulting this step with him/. The impact of ESW might be devastating.
After 5 months my pain got better, had a very good summer with mild/moderate pain and now the situation is worsening.
After consultation with dr. Urban in Prague I will probably try this 3Tesla MRI at dr. Aszmann in Vienna. Hope that will shed some light on my condition.

Thanks for sharing your ESW experience and I am really sorry about it. It is certainly not approved by the FDA in the US for such location.
http://en.wikipedia.org/wiki/Extracorpo ... ve_therapy

Presently this technology is only approved in the US by the Food and Drug Administration (FDA) for treatment of plantar fasciitis and tennis elbow.

Good luck with Dr.Aszmann.

Matt, is this the doctor in Prague you are referring to? http://www.esthe-plastika.cz/en/surgeon ... -urban.htm

Good luck -- I hope he will be able to help you.

Violet

Ali,

I am sorry that you are still in pain. Did the surgery help your numbness or erection problems though?

To Violet: No, dr, Michael Urban is an urologist and can be found at www.androgeos.cz, which is a private urological clinic.
I spoke with him personally and he made some basic exams. He said, that my problem is basically the chronic pelvic pain, high tension of pelvic muscles,
especially bulbocavernosis and ischiocavernosis. My pain at the base of penis is reffered pain from those muscles.
During the palpation, my Alcock canal was sensitive and painful, but he thinks that it is not classical PNE. Pudendal is clearly involved as a consequence of pelvic tension (my pain is rather dull and aching, not stabbing or like elecrtic shock). There is no difference when I am standing, laying or sitting, however prolonged sitting makes my condition worse.
He suggested physickal therapy, biofeedback, relax and some myorelaxants. If this will not be succesful, he suggested to try injections into Alcock canal. He said the he considers that not only diagnostic but also therapeutic tool.
I decided to follow his instruction, but will ask dr. Aszmann to do 3T MRI of my pelvis. This tool is not directly displaying possible entrapment, but might provide a lot of additional info.
Matt

Sounds like you may have it sussed Matt, I do hope that this treatment helps you long term. Let us know how it goes.
Thanks,
Helen