Hi everyone :hi: , you may recall that I had my LIS about two and a half weeks ago ... my recovery has been great and I'm reasonably confident that I've broken the chain with AF's and all their pain.
I just wanted to share something with everyone else on the forum who is still seeking medical options with their AF's.
I received the itemised bill from my CRS yesterday, and he listed a procedure which surprised me called 'Pudendal Nerve Block' which he performed at the same time as my LIS.
I Googled it and found that he had injected steroids and anaesthesia into my pudendal nerve whilst I was under the GA for my LIS. I don't know why he decided that was necessary; and I'm not complaining given my great recovery ... but for those people still investigating options you may wish to discuss with your doctor :IMO:
I have my follow-up visit with the CRS in a month, and if I find anything elese that interesting I'll post details.
Best wishes to everyone ...

Hey there,
So glad you are on the mend and could join us!
How interesting that you bring up the PN block Mr. Steve! I have had quite a few pudendal nerve blocks over the years to help control pudendal neuralgic pain. I didn't realize some doctors used it as an adjunct to anesthesia though for surgery.
The blocks I had were great at numbing up that area for a few hours to try to break the pain cycle. I can see how it would be useful for patients with AF during surgery and perhaps as a way to control the pain?? The steroids that they inject help to reduce the inflammation on the nerve to help calm it down.
I know with mine that had to use real time xrays to guide the needle into the right area.
I wonder if this procedure helped the amount of your post-op pain? How very interesting!
I would be very interested in hearing what your doctor says about using this and his rationale. Maybe it would show some promise for general rectal discomfort from AF?
I have to say that for me the effects were moderate with some alleviation of pain but nothing miraculous. I can only have 3 of them a year (per my pain doctor) because of the potential problems of high steroid exposure.
Again, congrats on your healing and thanks for your post!
Take care,
Lecia

About a pudendal nerve block during surgery. I don't have medical education and can assume what the surgeon try to prevent. A nerve damage and neurlagia during manipulation and cutting the tissue. This is a good practice according to my estimation. To secure the nerve area. My operation was done without it and one year after I still have some nerve discomfort in the vaginal-anal area.