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View Full Version : Scared, Confused - Pudendal Neuralgia


ICsmiles
02-24-2009, 10:20 AM
Hello - I am so discouraged right now, so I am coming here to the ICN where I have felt safe whenever I needed help through this frightening journey.
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A brief history: My pain started 13 years ago on the left side of my perineum - like an itchy, burny feeling - went to doctor after doctor while it got worse and worse - finally I was diagnosed with IC with the potassium sensitivity test and put on Elmiron and Atarax. My pain by then felt like knives and shards of glass stuck in my left side, but I was told it was my urethra and referred pain from IC. After several more years the pain did spread to my bladder, and it was aching and burning in addition to the knives in my perineum. Instills did nothing for me other than cause more pain. I had hydrodistentions in 2000 and 2005 and was told my bladder looks good and capacity is good, although I do have the classic IC glomerulations. By 2007, I could no longer work and went to a new dr. who said instead of IC it might really be pudendal neuralgia that was causing urinary problems and bladder pain along with the windup of pain throughout my pelvis. He did 2 nerve blocks with a giant needle through my buttocks (OMG!) which did not help. More disappointment. Then I had many sessions of physical therapy and my husband was taught how to do it as well ... I continued physical therapy for the past year, along with relaxation (meditation) sessions. However, I have continued to get worse, and now am in despair that I will ever get better. I cannot think of one treatment that has helped and I have become cynical and depressed.

SO... now I am wondering about the surgical option. It scares me! I was warned TO NEVER HAVE PNE SURGERY -- that it is basically butchery; that it destabilizes the pelvis and makes people worse off than before the surgery.

Okay .... but how could i be worse than I am? I have no life - I cannot sit, so I lay on the couch or bed all day with my legs up on a giant pillow to keep the pelvic floor relaxed as possible. I don't go anywhere, I cannot participate in anything with friends or family - it is like I have fallen into a black hole. All I have are books and my laptop, which I am so grateful for as it provides a gateway to the ICN and other forums, which has been a lifesaver.

Learning about PNE is overwhelming though. The cost alone is staggering. I just do not know which way to turn next. I am in California ... and I have been reading about a surgeon in Santa Monica who also does an MRN scan which shows the nerves.... there are very few doctors who treat this, with the main facility overseas in France, and then a handful of doctors in the states, in New Hampshire, Texas, and the one I mentioned in California... but it just feels daunting. I have already traveled and spent thousands of dollars to try to get better and every time have only gotten worse.

If anyone has some hope or can share their own experience, I would be grateful. :pray:

Arizonian
02-24-2009, 01:31 PM
I have P.N. and also, I.C. I had I.C. for 5 years before being diagnosed with P.N.
Whoever told you that you should never have PN surgery was not familiar with the process as there are several excellent surgeons in the U.S. who perform the PNER surgery. I finally had to have this surgery last September as I wasn't able to move forward with my life.
I also had the 2 nerve blocks, several epidurals, tried many types of pain medications, cold laser treatments to name the major treatments. None helped the PN pain. PN made my I.C. worse.
You can private mail me and I'll give you the name of my surgeon and I highly recommend him.

ICsmiles
02-24-2009, 07:30 PM
Arizonian,
Thank you, I will PM you! It is so heartening to hear from someone who has some experience with this. yeay! :smile tee

ICsmiles
02-26-2009, 11:15 AM
Thank you for this info! I was a little skeptical, but still hopeful -- when I watched his video on You Tube it sounded almost too good to be true. He also has a podcast video on iTunes.
Did you have the MRN and nerve blocks? And he is charging $15,000!!! And that's without any surgery? wow.
That is so cool that you are a lawyer and can take care of yourself as far as the financial threatening part. It is inspiring. Still, it must be very stressful. I am so sorry you have to go through this.
And for all of us, it is bad enough to be suffering, but to have to also do battle with the medical and insurance industries just to get help, it is unfathomable. We just want to lead normal, pain-free lives that most people take for granted.

Someday there must be an "Erin Brockovich" movie in all of this.

Kara29
03-03-2009, 03:52 PM
PNE Decompression Surgery with the absolute RIGHT DOCTOR, one from the lists.........will not be butchery at all. For example in my case, it will be an hour operation with a general anesthesia and after I wake up they will have an epidural placed so I won't feel the pain and stay in the Hopsital for 3 days. Then I have to stay in NH locally for 7 days and then I can go home after the post op. Oral pain meds sent home with me.

If you call my Doctor, I can promise you that you will understand the operation in better terms than butchery. It's NOT. Talk with a professional before letting anyone make you feel this scared about a surgery.

If you need my Doctor's Number, you can look through the lists I have provided around here somewhere or you can pm me.

Please don't let people who don't know anything about this surgery scare you. Get the correct information and facts, then make a choice about how brutal you feel it will be.

They are not out to cause you more pain.....they want to make you feel better, that is the goal. To feel less pain and make your operation as successful as it can be. It's all about thinkng positive and not letting the pessimism get to you.

Please no Doctor bashing on here. You can PM people to talk about your individual experiences.

My Doctor is someone different than who you are all talking about.

Well Wishes,

Kara

Arizonian
03-04-2009, 03:43 PM
Kara,
My surgery with Dr. Hibner was a different procedure than your upcoming procedure with Dr. Conway. I wish you the very best with it! I had the Entrapment Release which was about 2 hours. He cuts a 5 inch incision in the buttock and cuts 2 ligaments to get to the PN. He releases the nerve which is usually entraped with scar tissue (was in my case), then encases the nerve in nylon wrapping, then re-sutures one of the 2 ligaments with cadaver ligament.
He covers the external incision with silver bandage to promote healing and you have a marcaine drip coming out of the incision to a pump. One wears the pump for 10 days and it pumps marcaine into the nerve to bathe it in the aenesthetic. It was wonderful to have no pain for 5 days! My pump went dry after 5 days due to a manufacturer's defect so his patients should ask about this. He may also be allowing his patients to wear the pump for 30 days. He offered me that opportunity but my pump went dry. Once it does, the line dries up and you are done.
My scar healed in 6 weeks but 6 months later, I am still waiting for pain relief. It took 4 months for me to feel nearly normal again as it is a very invasive procedure. He cuts 4 inches into one's pelvic region.
But, I had no alternative as I wasn't healing any other way. His success rate is high and he has never made a patient worse. I certainly recommend him!
Arizonian

Kara29
03-05-2009, 10:07 AM
Dr.Conway uses something called the TIR Approach which means Thansguteal Ichisal. They a small slit in the upper portion of the vaginal so there are no internal stitches involved. The Pudendal Nerve is Conducted called Internal Neurolysis. They test the nerve at every point to make sure they are taking care of the condution on the upper and lower potortion as well as bilaterally (both sides) of the Pudendal Nerve. He is decompressing both sides so I don't have to go back again should the other half have a problem too. So I feel good about that. The recovery is 6 weeks to 6 months and some people don't get any relief at all and that's the chance one has to take and it's a personal choice. I choose to try any and all treatments for both IC and PNE and Vestibulitis (which is not 100% fixed after the total vestibulectomy.


Each Doctor has their own way of doing thing and I just fit with my Doc well and I'm happy with him and the way his office staff treats me.

Well Wishes and I hope you seem some improvement soon!

Warm Hugs,

Kara

ICsmiles
03-05-2009, 08:27 PM
Kara and Arizonian,
Thank you for sharing your experience with your doctors and your very warm and informative posts. You are very brave women and generous with sharing your experience. You have no idea how eagerly I wait for your responses and how much hope you give me. I did not mean to cause any bad reactions when I said I had been told that the PNE surgery was butchery -- I just wanted to share what had happened to me when I talked to one of the pelvic pain specialists I went to. Your reactions were helpful. I went through a physical therapy and relaxation program -- and I have tried the meditation exercises and physical therapy for almost a year without any improvement - in fact, I have gotten worse. My husband told me he thinks that the PT flares me and maybe it is time to look at something else. We live far from any doctors who treat IC so it is a big journey every time I try something, and takes a lot of planning and financial resources.
When I started despairing that I will never get out of pain, and thinking I don't want to live like this any more, I realized I needed to take more action and find a new doctor to try more aggressive treatment. Not everyone can meditate and do PT and get out of pain. I have been feeling like a failure, like I wasn't doing it good enough.
I am trying botox next month, (yeay!) but also wanted to learn about the PNE surgery... and I am trying to get over the warnings that scared me away from it. So thank you again for sharing --- and I hope I can PM you as well if I have more questions?
With my sincere and warmest regards,
Sharon - aka ICsmiles

Kara29
03-06-2009, 08:16 AM
Sharon,

Please feel free to talk to me anytime you have questions regarding PNE or anything else for that matter. You didn't say anything wrong so have no fear and continue to ask away and get as much information under your belt as you can before making a choice in what direction you want to travel in!

Warm Hugs,

Kara