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Re: MRI and scarring

Posted: Thu Jan 06, 2011 1:44 am
by Pelvis Stressly
AliPasha1 wrote: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.

Re: MRI and scarring

Posted: Thu Jan 06, 2011 5:07 am
by AliPasha1
Agreed.

Re: MRI and scarring

Posted: Thu Jan 06, 2011 5:35 am
by 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.

Re: MRI and scarring

Posted: Thu Jan 06, 2011 5:58 am
by AliPasha1
Good luck. :D
Give my Regards to Dr. Kim.


Regards,
Ali

Re: MRI and scarring

Posted: Thu Jan 06, 2011 11:38 am
by Pelvis Stressly
Thanks.
Not having it done in Boston though...going to an interventional radiologist here in Toronto.

Re: MRI and scarring

Posted: Thu Jan 06, 2011 4:28 pm
by 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?

Re: MRI and scarring

Posted: Thu Jan 06, 2011 5:31 pm
by 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

Re: MRI and scarring

Posted: Thu Jan 06, 2011 7:01 pm
by Karyn
Best wishes with your angiogram, PS!
Warm regards,
Karyn

Re: MRI and scarring

Posted: Thu Jan 06, 2011 11:19 pm
by 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

Re: MRI and scarring

Posted: Fri Jan 07, 2011 12:20 am
by 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