Kara29
07-16-2009, 10:03 AM
One of my close Friends found this study. It explains why it takes so long to heal from the operation. It just takes time for the nerves to regenerate in a different direction, so if any of you have had the operation and are frustrated, this could help you to feel better. Knowing that it takes up to 2 years now for any signs of improvement for some patients. This is a case where Time can actually heal. I found it to be very positive in that light even though it was an older study.
Here is the study, results, and research teams findings:
"Decompression and transposition of the pudendal nerve in pudendal neuralgia: a randomized controlled trial and long-term evaluation.
Robert R, Labat JJ, Bensignor M, Glemain P, Deschamps C, Raoul S, Hamel O.
Neurotraumatologie, Hotel Dieu Chu Nantes, 44093 Nantes Cedex 1, France.
BACKGROUND: We assess that pudendal neuralgia is a tunnel syndrome due to a ligamentous entrapment of the pudendal nerve and have treated 400 patients surgically since 1987. We have had no major complication. We conducted a randomized controlled trial to evaluate our procedure. METHODS: A sequential, randomized controlled trial to compare decompression of the pudendal nerve with non-surgical treatment. Patients aged 18-70, had chronic, uni/bilateral perineal pain, positive temporary response to blocks at the ischial spine and in Alcock's canal. They were randomly assigned to surgery (n=16) and control (n=16) groups. Primary end point was improvement at 3 months following surgery or assignment to the non-surgery group. Secondary end points were improvement at 12 months and at 4 years following surgical intervention. RESULTS: A significantly higher proportion of the surgery group was improved at 3 months. On intention-to-treat analysis 50% of the surgery group reported improvement in pain at 3 months versus 6.2% of the non-surgery group (p=.0155); in the analysis by treatment protocol the figures were 57.1% versus 6.7% (p=.0052). At 12 months, 71.4% of the surgery group compared with 13.3% of the non-surgery group were improved, analyzing by treatment protocol (p=.0025). Only those randomized to surgery were evaluated at 4 years: 8 remained improved at 4 years. No complications were encountered. CONCLUSIONS: In this study we demonstrate that decompression of the pudendal nerve is an effective and safe treatment for cases of chronic pudendal neuralgia that have been unresponsive to analgesia and nerve blocks. Following surgery, other medical interventions may be necessary."
With surgery, medication and for some physical therapy......you may see some results later on that could creep up on you, unexpected, in a good way.
Thanks to my Special Friend for finding this article. It makes me feel better, emotionally for doing the operation and that I just have to be patient and take some time and rest. I thought it may be positive for some of you who are having it done and are not seeing any results just yet.
Kara
Here is the study, results, and research teams findings:
"Decompression and transposition of the pudendal nerve in pudendal neuralgia: a randomized controlled trial and long-term evaluation.
Robert R, Labat JJ, Bensignor M, Glemain P, Deschamps C, Raoul S, Hamel O.
Neurotraumatologie, Hotel Dieu Chu Nantes, 44093 Nantes Cedex 1, France.
BACKGROUND: We assess that pudendal neuralgia is a tunnel syndrome due to a ligamentous entrapment of the pudendal nerve and have treated 400 patients surgically since 1987. We have had no major complication. We conducted a randomized controlled trial to evaluate our procedure. METHODS: A sequential, randomized controlled trial to compare decompression of the pudendal nerve with non-surgical treatment. Patients aged 18-70, had chronic, uni/bilateral perineal pain, positive temporary response to blocks at the ischial spine and in Alcock's canal. They were randomly assigned to surgery (n=16) and control (n=16) groups. Primary end point was improvement at 3 months following surgery or assignment to the non-surgery group. Secondary end points were improvement at 12 months and at 4 years following surgical intervention. RESULTS: A significantly higher proportion of the surgery group was improved at 3 months. On intention-to-treat analysis 50% of the surgery group reported improvement in pain at 3 months versus 6.2% of the non-surgery group (p=.0155); in the analysis by treatment protocol the figures were 57.1% versus 6.7% (p=.0052). At 12 months, 71.4% of the surgery group compared with 13.3% of the non-surgery group were improved, analyzing by treatment protocol (p=.0025). Only those randomized to surgery were evaluated at 4 years: 8 remained improved at 4 years. No complications were encountered. CONCLUSIONS: In this study we demonstrate that decompression of the pudendal nerve is an effective and safe treatment for cases of chronic pudendal neuralgia that have been unresponsive to analgesia and nerve blocks. Following surgery, other medical interventions may be necessary."
With surgery, medication and for some physical therapy......you may see some results later on that could creep up on you, unexpected, in a good way.
Thanks to my Special Friend for finding this article. It makes me feel better, emotionally for doing the operation and that I just have to be patient and take some time and rest. I thought it may be positive for some of you who are having it done and are not seeing any results just yet.
Kara