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Pudendal (sp) Nerve Damage Pudendal (sp) Nerve Damage

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Unread 02-19-2007, 02:33 AM
Question - Pudendal (sp) Nerve Damage Pudendal (sp) Nerve Damage

Hi Guys,

I went for my repeat urodynamic studies on Friday. I had my TAH BSO in May 2004 and soon after developed problems with bladder leakage, wgich was diagnosed as mixed incontinence in 2005 after my 1st urodynamic studies which showed sensory urgency and stress incontinence.

Last October I had a transobturator bladder sling inserted but I have been leaking more than ever before since. I wake up dry in the morning but the act of walking around and bending forward from the waist makes me leak. Although I am sometimes aware of a small "bubble" of leakage when I laugh loudly or cough/sneeze, I think it is certain movements of my legs that is causing the main problem, and I am always surprised to see I have leaked more between toilet visits as I was unaware of it happening.

Both times I hade the studies done, the technician was confused as although I had sensory urgency and felt quite distressed when they filled my bladder with around 300ml of saline, the graphs did not show any spasms of the bladder? Last time they were able to demonstarte the stress incontinence (very embarrassing) but this time they did not get as far as making me wet myself.

The Doctor doing the tests was muttering something about the pudendal nerve and it booking me in to see the head hauncho for a further consultation. He also is going to arrange for me to have some physical therapy and wanted to try me on a medication called "Duloxetine" but the other uro-gynae tried this last time and I ended up in A&E with heart problems, so he reluctantly agreed it is not a good idea to try that again.

Can anyone give me any information about Pundendal Nerve Damage and what if anything can be done to treat this via Physical Therapy? Because of my connective tissue disorder, the doctor is reluctant to get me in for more surgery (I have had 14 ops in the last 10 years or so) and wants to try more conservative treatment first.

Thanks for listening,

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Unread 02-19-2007, 05:19 PM
Pudendal (sp) Nerve Damage

Hi Sue,
Have you gotten a definite diagnosis of Pudendal Nerve damage or is this something the Dr is thinking about?
A Pelvic Floor therapist can use myofacial relaxation techniques to help to relax the vaginal tissue. The technique is a bit embarassing but does not hurt. The therapist will insert a finger into the vagina, locate the area of tense tissue and then apply a gentle pressure until she feels the tissue begin to soften and relax. It takes quite a few treatments to notice a difference. Along with myofascial relaxation she can help with pelvic floor exercises to help decrease the tenseness of the muscles and hopefully relax the nerve.
A Pain Management specialist or Neurology consult would be helpful in diagnosis and treatment of Pudendal Nerve Damage.
Good luck.

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