Pelvic Floor Dysfunction

Fissure like pains...anyone?

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Re: Pelvic Floor Dysfunction

Postby msimon » 04 Oct 2014, 22:47

It's too bad that you have to wait until December Alyssa. One does have to be careful with not injecting botox too often though so one does not develop a tolerance/immunity to the botox, I guess. Have you tried using the nifedipine again in the meantime to lower some of your tone there?
Dec '13 Fissure from anoscope
3 X internal sphincter botox
'08-'15 Botox for pelvic floor dysfunction
Nov '14 LIS/sentinel tag removal
Feb '15 Deroofing of recurrent infection from LIS
summer '15-healed but still ongoing muscle dysfunction/pain
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 04 Oct 2014, 23:42

I just got a refill on it but it takes 7 days for it to be ready at the pharmacy...
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 04 Oct 2014, 23:47

I just thought that by injecting the pelvic floor muscles it was also going to relax the sphincter... Now I have relaxed pelvic floor muscles and still a tight sphincter...

The good part is that I don't have as much pain with bm... Minor stings/ irritation. But I have burning sitting pain after sitting for more than an hour.
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
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Re: Pelvic Floor Dysfunction

Postby pafen » 04 Oct 2014, 23:52

Roughly how much was the Botox injections?? In Australia I have been told for the pelvic floor injections it will be around $1000.

Just wanted to get a rough idea of how much it costs around the world. Of course I would have my health insurance excess to pay as well for my admission on top of that.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
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Re: Pelvic Floor Dysfunction

Postby pafen » 04 Oct 2014, 23:59

Actually when I had my EUA by the colorectal surgeon. The plan was if we find a fissure we will do the LIS, if I don't then we will do the Botox.

He went with his gut feeling he told me, that the folds in the anal canal it's very hard to spot a fissure sometimes and it would take a long time to explore the whole area of the rectum. He said my symptoms were typical of a fissure but he didn't confirm with me that he actually found one.

So he did the LIS anyway. My discharge forms said EUA showed scarring from the previous hemroidectomy incisions everything else was normal. I asked him also about stenosis and he said I didn't have that.

Looking back I wish he had done the Botox instead or as well now.

Alyssa it sounds like the Botox is helping somewhat so it's something I will discuss with my pain management doctor.
Hemroidectomy, anal abscess, fissure, LIS
Pelvic floor Dysfunction since late 2012
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 05 Oct 2014, 12:01

Pafen,

I have insurance so my copayment was $100 dollars for Botox and it was done under sedation.
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 06 Oct 2014, 22:05

2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 06 Oct 2014, 22:11

2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 06 Oct 2014, 22:15

Diagnosis and treatment for pelvic floor disorders
http://www.sciencedirect.com/science/ar ... 8510002647
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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Re: Pelvic Floor Dysfunction

Postby Alyssa » 06 Oct 2014, 22:29

Sacral root stimulator for anal pain

http://apps.elsevier.es/watermark/ctl_s ... pdf001.pdf
2/14 Fissure developed
3/14 Diagnosed w/ fissure given Nifedipine
4/14 Referred to Pelvic Floor Physical Therapy=Pelvic Floor Dysfunction
5/14 Fissure declared "healed"/chronic anal pain persists
9/5/14 Botox to pelvic floor
9/22 biofeedback
Alyssa
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