Health Organization for Pudendal Education

Thanks a lot Calluna, Hugs to you too.

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

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