pudendal nerve

[sam502]

can someone give me advise please. 2 years ago after a laparoscopy i started to get an overactive bladder with nerve symptoms before and after voiding. I`ve been to see a gynourologist and i`m on oxybutynine and 25mg of amptriptyline which has helped some what,but the tingling seems to be getting worse they want me to try50mg of amptriptyline for a month but i think its aggravating my ocd.I dont know whether to see a urologist or a nerve specialist,every time i mention it to my doctor they say there is no scan or tests that can prove its the pudendal nerve but when i look up the symptoms on the net it relates to my problems that i`ve got but not any information on how i get the ball rolling eg. who to see,what tests to get done and treatments.The tablets for the bladder seem
to be working so i`m scared to have tests done on my bladder incase it creates another problem or makes it worse,so i`d like to see someone about the nerves first but who? please help i`m at my wits end.                  Thank you

[JainMD]

Hi,
I think you should be consulting a neurologist and make him examine thoroughly all reflexes in your body.
He is the best person to assess the neuropathy.
You can ask for nerve conduction velocity test to assess the motor function of the nerve.
You can also ask for MRI study to see for soft tissue pathology.
Keep me informed if you have any queries.
Bye.

[weebles]

HI
I HAVE ALSO GOT PELVIC FLOOR DYSFUNCTION WITH PUDENDAL NERVE NUGELIA SECONDARY...........DO NOT ASUME THAT YOU HAVE PUDENDAL NERVE ENTRAPMENT ETC AS LIKE ME YOU CAN HAVE PELVIC FLOOR DYSFUNCTION THAT IRRATATED THE NERVE..........THIS IS TREATABLE.....I HAVE BEEN GOING TO SYDNEY FOR BOTOX AND ITS WORKING WELL........THERE ARE PHYSITHERIPISTS SPECIFICALLY TRAINED IN HELPING YOU TO GET WELL.........THE BEST SITE IS TIPNA ITS HAS INFORMATION AND ALSO A LIST OF DOCTORS IN YOUR COUNTRY.IT USA, FRANCE, GERMANY, AUSTRALIA, I ALSO HAVE BALDDER SYMPTOMS WHICH IS FROM PFD.....DONT SCARE YOURSELF WITH ALL THE NEGATIVE STUFF ON THE SITE AS IT FREAKED ME OUT............YOU CAN GET BETTER AND THERE ARE TESTS AND DOCTORS WHO NO WHAT TO DO...............ALL THE BEST