Page 2 of 2

Re: Nerve blocks

Posted: Fri Jun 15, 2012 11:18 am
by helenlegs 11
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

Re: Nerve blocks

Posted: Fri Jun 15, 2012 7:27 pm
by flyer28
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).