pelvic prolapse

[sam]

Thanks a lot Calluna, Hugs to you too.

[DakotaGirl]

I was wondering two things;

Are fissures internal or external or both? How do they find out if they are internal?

Also, can a moderate rectocele be causing the PN and putting pressure on it? I was told to go get that fixed and it would heal the PN, but I don't think the answer is as simple as that.
(a neurologist told me that).

I wouldn't dare have surgery on that and then having the PN get worse.

Still trying to find some answers or rule some things out.

Thanks,

DakotaGirl

[Violet M]

According to this article, anal fissures can be internal or external. Internal ones would be seen with a lighted scope.

http://www.webmd.com/digestive-disorder ... c-overview

I found one peer-reviewed article on rectocele and pudendal neuropathy. http://www.ncbi.nlm.nih.gov/pubmed/2033349

There are a couple of articles on pudendal neuropathy and perineal descent.
http://www.ncbi.nlm.nih.gov/pubmed/8387002
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1432308/

The problem with these articles is that pudendal neuropathy doesn't necessarily always mean neuralgia or pain. It could mean fecal incontinence, so it's hard to draw a conclusion on whether rectoceles or perineal descent can cause pain. Many people have pelvic floor prolapses without pudendal nerve pain. But I don't know if that necessarily means a rectocele would never cause pudendal nerve pain. Sorry, I'm not giving you a very definite answer here but it may be there isn't one.

Violet