Health Organization for Pudendal Education

Dr. Eric Bautrant will be in Sydney again in Feb. 2011. See update http://www.whria.com.au/page.aspx?docid=162

Very excited to hear of this! Thank you for posting this. We need to get the message of PNE around the world. I posted a link on my facebook page to HOPE.

Hi Catherine,
Can you ask three queations from Dr. Bautrant at the conference?

1)Does he address the entrapment of the Pudendal Nerve at the falciform process of the Sacrotubeorus ligament?If so how does he reach the falciform process of the Sacrotuberous ligament?

2)What is his view on Dr. Oskar Aszmann and Dr. Dellon's work on the decompression of Dorsal Nerve entrapment?

3)How does he plan he decompress the perenial and dorsal branches of the Pudendal nerve nerve after they branch out of the Alcock's Canal all the way to the Pubic symphysis?

I would really appreciate if you can ask him these questions.

Best Regards,
Ali

Hi Catherine
Thanks for posting this ..... brings back memories of where I was 3 years ago before heading to Australia to meet with Dr Bautrant to be assessed! What a godsend that trip and the subsequent surgery was. Are you going to the conference ?

I will be attending the upcoming pelvic pain conference in Sydney. Thurs.17th & Friday 18th Feb.2011
I'll try my best to get your questions answered. Attached are the questions I have so far.
Please feel free to add to the list. I think I will have to forward the list of questions to the doctors before the seminar to give them time to read it over.

Catherine

I will be attending the upcoming pelvic pain conference in Sydney. Thurs.17th & Friday 18th Feb.2011
I'll try my best to get your questions answered. Attached are the questions I have so far.
Please feel free to add to the list. I think I will have to forward the list of questions to the doctors before the seminar to give them time to read it over.

Catherine

Great Catherine, I would love to be at this conference and will be hanging out for any info that you receive,
J

Fantastic seminar. Great to see so many health care professionals learn about PN. I met many people who are so grateful for our information and know that they can now get help here in Australia. Didn't get to talk much to the doctors as they were very busy and always someone with them. Physiotherapists had their own case review the following day. I will ask my physio. Alison about it and post her info. asap.

Update on Pelvic Pain Conference:

The seminar was was attended by health professionals from around Australia who have an interest in chronic pelvic pain conditions. A huge turn out with the auditorium full to capacity and more sitting on the stairs down the aisles.
A public forum was held on the evening before with many questions from both men and women.

I managed to get some answers from Dr. Bautrant (quite difficult as he was extremely popular among the medical staff.) I had to grab him for a few minutes.

1 Transposing the nerve. Dr. Bautrant said that he does not touch the nerve itself but removes the problem of entrapment around it. He'd rather not touch the nerve due to possible further damage.

2. Cutting the nerve to the OI muscle: Dr. B said there are other treatments for obturator spasms. He said cutting the nerve to the OI is new research and has no data to date.

3. Entrapment of OI . Yes it is possible for the OI nerve to be trapped or compressed. Pain on the inside of the leg would indicate OI nerve issues.

4. Piriformis. Yes, the piriformis can be involved in the entrapment of the PN.

5. Falciform Process: is the fascia of the Alcocks Canal. He does not cut the Sacrotuberous ligament. This is why he does TIR approach so as to avoid cutting the Sacrotuberous ligament.

6. Dr. Aszmann & Dr. Dellon. Dr. Bautrant keeps in touch with these researchers and knows of their work on the decompression of the dorsal nerve. To date there is no data of efficacy and he has no plans to do this type of release. All of his surgeries are Alcocks Canal & SS ligaments as that is where the majority of entrapments seem to be found.

7. Young Children with symptoms of PN. Dr. B said that he would never do surgery on a young child. He has seen children in his clinic and all have been muscle related issues. Factors such as inappropriate toilet training when the child is a toddler. ie being punished for soiling their pants or from constant anger and verbal abuse by parents when the child wets or soils in their pants. Young children then develop a 'holding back' muscle tightness that develops into pelvic muscle dysfunction. Can then have PN symptoms. He also stressed that sexual abuse must be investigated.

The seminar was very well presented and it was great to see so many health professionals learn about PN. I think it will be moved to a bigger venue next year. I was asked to fill out a survey and I suggested that the seminar be taken to other cities around Australia & New Zealand.

Catherine,

THANK YOU! For your detailed report of the seminar. I wonder if it is on YouTube at all?

I really appreciate you asking Dr. Bautrant all of these questions.

Again, thanks,

A's Mommy