Would "pelvic floor scarring" feel like a "tight pelvic floor"? Below is the letter that my dear friend Ali and I worked on together:
December 5, 2010
Dr. S. Abbas Shobeiri
825 NE 10th St., Ste. 3400
Oklahoma City, OK 73104
Dear Dr. Shobeiri,
My name is Karyn and I’ll be travelling from MA to meet with you on January 18, 2011 for a PNE Decompression surgical consult. A tentative surgery date has been scheduled for January 20, 2011.
I have been informed by your office staff that you don’t speak with patients over the telephone, so the reason I’m writing to you in advance is because I have concerns regarding one of the areas of my entrapments as indicated by the 3T MRI which I had at the Hospital for Special Surgery in NYC, NY by Dr. Hollis Potter. While this condition as a whole is cause for concern, I’m specifically referring to:
“MRI of the pelvis demonstrates pelvic floor scarring of the surrounding perivaginal fat planes, entrapping both the anterior and distal branches of the pudendal nerves, as well as the dorsal nerves, bilaterally, left greater than right”.
“There is scar surrounding both dorsal nerves to the clitoris”.
It has recently come to my attention that dorsal nerve decompression isn’t something that’s typically addressed during TG surgery. Is this true? With your vast pelvic anatomy knowledge, is this something you may be able to help me with?
I’ve researched this matter to the best of my ability and have only come up with two doctors who do decompress the distal dorsal branch of the Pudendal nerve after it branches out of the Alcock’s Canal all the way to the Pubic symphysis:
Dr. Lee Dellon – The Dellon Institutes for Peripheral Nerve Surgery
Baltimore, MD
Telephone: 410-337-5400
Email: aldellon@dellon.com
Dr. Oskar C. Aszmann – Allgemeines Krankenhaus
Währinger Gürtel 18-20, 1090 Wien, Austria
Telephone: +43 1 40400 6986
Email: oskar.aszmann@meduniwien.ac.at
As it is my sincere hope to avoid another surgery, I was wondering if you’d be willing to contact any of these surgeons for direction in the event you’re not familiar with the procedure to release the dorsal pudendal nerve.
Dr. Mark Conway of Merrimack, NH informed me that he would contact you personally to discuss my case. He also said he would offer to provide you with the images of my MRI. I don’t know if you have been able to connect with him or not. It is my intention to bring a copy of the CD images with me to our scheduled appointment.
Thank you very much for your time and consideration. I look forward to meeting with you on the 18th of January!
I really don't want this to be a debate about if he read my letter or not. I think we all know the answer to that question.
I am wondering, though, about that pelvic floor! I would honestly question myself if I got a recent "no tightness" in September from Dr. and then a "tighter than a drum!" from Dr. S a couple of months later, EVEN THOUGH I FEEL ZERO TIGHTNESS ... IF it weren't for the fact that I also went back to my PT around the same time as I saw Dr. C; who became intimately acquainted with my pelvic floor. Her assessment was the same as Dr. C's and that matches what I feel (or don't feel). In an effort to give Dr. S the benefit of the doubt, maybe a "scarred pelvic floor" feels tough and fiberous?
I welcome any thoughts ....
Warm regards,
Karyn
