Thank you all so much, it's absolutely incredible to have access to this information (as a patient) ! I completely agree, the way Dr Ana Sierra presented is crystal clear and so encouraging for the future :D
Prof. Passover. Does one-sided pudendal nerve injection with Botox can impair bladder and colon function? Doesn't contralateral nerve does his job? And so - can we block pudendal nerve at the level of interligamentary space or at the level of Alcock's canal? Another questiona: Is this possible to publish on the ISON website the list of physicians who has a ISON Certificate with the country affiliation?
Excellente and very important question. A neurogenic pudendal lesion on one side will not induce any incontinence sofar the contraleteral side is OK. Now I was quite restricting with bilateral BTX infiltration, but I did it in the past without inducing continence. Your question is really good showing that you have already a very good "neuropelveological" knowledge. Congratulation
Whether and at which level (peripheral nerve, spinal or brain) impulses from different regions can be mixed. For example, in the case of the genitofemoral nerve - if the patient reports pain around the testicle and the middle surface of the thigh, does it mean that the problem is in higher nervous part, or may it be that the pain caused by pathology in the scrotum (e.g. varicocele) stimulates the genital branch, which then connects with the femoral branch of this nerve, which makes patient feel pain in both areas? Or maybe patient should feel pain only in the scrotum?
Reffering to botox - botox injected around the trunk of the nerve can paralise the innevarted muscles? Or maybe botox can cause that effect only when injected into the muscles?
Paralize the nerve is probably to much, but yes, infiltrating the trunk of the nerve could work, if you do it the proper level...and once again, this is the key - the neuropelveological diagnosis 😀
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Thank you all so much, it's absolutely incredible to have access to this information (as a patient) ! I completely agree, the way Dr Ana Sierra presented is crystal clear and so encouraging for the future :D
Thank you so much for kind encouraging words 😘
Thank you to you all 🙏🏻
Our pleasure. As very often in medicine, eduction of patient is absolutely mandator for coming forwards 😘
Prof. Passover. Does one-sided pudendal nerve injection with Botox can impair bladder and colon function? Doesn't contralateral nerve does his job? And so - can we block pudendal nerve at the level of interligamentary space or at the level of Alcock's canal? Another questiona: Is this possible to publish on the ISON website the list of physicians who has a ISON Certificate with the country affiliation?
Excellente and very important question. A neurogenic pudendal lesion on one side will not induce any incontinence sofar the contraleteral side is OK. Now I was quite restricting with bilateral BTX infiltration, but I did it in the past without inducing continence. Your question is really good showing that you have already a very good "neuropelveological" knowledge. Congratulation
Whether and at which level (peripheral nerve, spinal or brain) impulses from different regions can be mixed. For example, in the case of the genitofemoral nerve - if the patient reports pain around the testicle and the middle surface of the thigh, does it mean that the problem is in higher nervous part, or may it be that the pain caused by pathology in the scrotum (e.g. varicocele) stimulates the genital branch, which then connects with the femoral branch of this nerve, which makes patient feel pain in both areas? Or maybe patient should feel pain only in the scrotum?
yes, you have wright- if the patint reports on pain in both dermatomes, the lesion/irriattion is probably at the level of the trunk of the nerve
Reffering to botox - botox injected around the trunk of the nerve can paralise the innevarted muscles? Or maybe botox can cause that effect only when injected into the muscles?
Paralize the nerve is probably to much, but yes, infiltrating the trunk of the nerve could work, if you do it the proper level...and once again, this is the key - the neuropelveological diagnosis 😀