Pudendal nerve and arteries (anatomy)

[@recipehacker9752]

I injured the pudendal nerve mtn biking. Like he said, the seat is a cause. It’s not a small type of injury-- it’s devastating. Unlike any pain you’ll experience. When seated, you feel like there is a hard, sharp rock under your bum (or in it !). There is also a constant burning / binding sensation in the fold between the leg and pelvis- like wearing underwear 5 sizes too small. I’m now 4 years into this. Apparently, you can damage this nerve by cycling, squatting weight, falling, or by childbirth. Damage can also be a complication of surgery (prostate or hernia). Injuring this nerve does not always mean numbness, it may mean hell on earth due to unremitting pain.

[@alexriley6276]

hey i have the same problem? send me your email

[@recipehacker9752]

@@alexriley6276 please say more….

[@alexriley6276]

dr dellon from baltimore, maryland did my pudendal nerve decompression surgery. i got decent results. got feeling and function back. however i didnt get all feeling back and things just dont feel the way they did before the injury. if i were you id go see him. he can at least improve your situation

[@recipehacker9752]

@@alexriley6276 Thank you for your reply. I will research him. I’ve gotten decent results from Gabapentin and Duloxetine….and time, I suppose. No loss of function, thank goodness. Just pain and loss of my passion- biking. Decompression surgery might be my last resort as the risk:reward ratio is poor. I think pudendal nerve blocks , infrared heat therapy, and perhaps stem cell therapy are my next moves. How did you sustain your injury?

[@alexriley6276]

i had a job as a courrier. i used a bicycle to do all deleveries. was on a bike 5 hours a day 5 days a week

[@mahmoudalballa2638]

Lord of Anatomy🔥❤❤ Keep up the tremendous way of teaching

[@charlespryor7275]

Thank you very much for your finely illustrated clear voiced Human Biology online classes . I have a pudendal nerve problem yet to be diagnosed as they research every other possibility first. Your students must pass with flying A’s clear,concise with models and apps make study much more captivating. Thanks again .

[@madinasplace]

I have an anatomy exam tomorrow and I found this very helpful, thank you!

[@WinsonC-s9z]

1:55 Aorta, Common iliac arteries, Internal and external iliac arteries 2:40 Anterior division of the internal iliac artery 3:10 Internal pudendal artery 4:20 Pelvic floor 4:45 Greater sciatic foramen + sciatic nerve + internal pudendal artery 5:12 Lesser sciatic foramen + internal pudendal artery 5:38 Alcock's canal/ Pudendal canal 6:00 Perineal + deep perineal pouch + superficial perineal pouch + ischial fossa 6:20 Erectile tissue 6:40 External pudendal artery 7:15 Femoral artery -> superficial and deep external pudendal arteries 8:24 External pudendal artery -> labial major, skin of scrotum 8:50 Anastomosis between internal and external pudendal artery 9:00 Pudendal n 9:50 Lumbasacral plexus - S2-S4 (largely sensory, partly motor) 10:15 Greater sciatic foramen + pudendal n + piriformis 10:30 Pudendal n, internal pudendal a, internal pudendal v 10:40 Greater sciatic foramen + lesser sciatic foramen + perineal region 11:00 Innervation to external urethral sphincter + external anal sphincter + erectile tissue + levator ani 11:50 Pudendal n splitting into 3 - dorsal n of the penis/clitoris, inferior rectal n, perineal n 12:20 Entrapment of pudendal n

[@jamesblessing6476]

Excellent way of teaching anatomy. I appreciate it

[@hanishshetty8868]

congrats on your 100th video sam sir...! It's been a ride... Thank you for sharing your knowledge, that made anatomy not only easy but also made it fun to learn subject!

[@boostmobile9249]

Interesting. Interested in pudendal NERVES &VAGUS NERVES FUNCTIONS. ROOT CAUSES OF PAINS IN GROIN AREA. PELVIS Areas. Pins & needles sensations. Discomfort. Should a Chiropractor skills heal the problem s & Show patient proper Excercises to practice daily for prevention?

[@AdamBilski1]

Perfect timing for a revision for my exam in two days

[@macarenajuanchuto4636]

WOW, I found this channel today and I can´t stop watching all your videos Sam! I´m a pelvic floor physiotherapist from Chile and I just wanted to say thank you for helping us all to learn anatomy this way and taking the time to prepare every video, please keep going! Thanks again!

[@mary.yum21]

You made me fell in love with anatomy😭

[@lionsinescanor373]

You are a god in anatomy

[@mgreene011]

10 years ago I felt a little bit of pain in the premium ( The pain Seemed so insignificant at the time that I can actually remember for certain where it was located) after getting up from the wrestling mat, and that night I lost almost all feeling in my genitals and my nipples. The next morning I had pain in my feet which has yet to subside.I can get an erection currently, but I still have loss of feeling and often pain during ejaculation. I am seeing a pelvic specialist who did her first internal exam recently.None of what she did actually hurt. I’ve seen several neurologist and had my spine fused at L5, S1 eight years ago. I haven’t given up on my Johnson yet though.

[@MinxInSinx]

This video helped me so much. Definitely have a problem with my nerve Thank you so much for everything everything clearly also. Am autistic so was very relieved when I understood everything 👌🏻 The humor helped too. Great video U gained a new Subscriber 🙏🏻

[@Eldientesdechivo]

Thank you. Very informative

[@prathameshlata8567]

mr.Holmes of anatomy .

[@giulianacortese3500]

Thank you. I love anatomy! Really helpful.

[@lstrawaya6403]

Thanks so much Please keep posting your amazing videos You saved my life I was so confused about pudendal vessels and nerve. ❤️❤️❤️❤️🙏🏼

[@grietjeronald9256]

if you were my anatomy teacher in the days, life would've been much more fun!! thanks! (grietje, coloproctology surgeon)

[@bublisoniyak6227]

Yes sir! It's all crystal clear 🎉🙏

[@AnxiousMedic]

Thank u for everything, you're a true legend!!

[@yasmeenamer4553]

u look like dr house loveee u

[@SH-yu3tw]

a huge thanks again for your super lesson

[@othmanenasslahsen8671]

Can a hernied disc L5S1 cause a pudendal Neuralgia ??

[@mehrob3245]

Than you Dr. House!

[@lili4833]

The sexiest anatomy teacher ever. Lucky I wasn’t in his class otherwise I would have failed haha! Joke aside, fabulous teacher. Thank you!

[@ivomaio4443]

How far is the nerve from obturator internus to the pudendal nerve?

[@Djsoulful]

Directly over the nerve I believe

[@mikeearls126]

Hi there - is there anyway you can tell me what kind of dr specializes in this (I have problems in the area but not sure where to go)? thanks a lot

[@janicedavidellis1910]

Can you please comment on nerves originating at the coccyx bone? Are those nerves pudendal nerves, too? What sensation/pain is be expected when that bone is surgically removed? Thank you.

[@AquaDoll34]

Wow, that was amazing! I love the clinical aspects you teach with each segment, it really helps with association and understanding! Thank you!

[@lawlit5980]

Thanks for the amazing work🙏

[@seneliahasna1524]

Thankyou so much

[@mathewhopkinsw.f.g5671]

Great tutorial . As a layman, always nice to understand how this amazing machine i have been living in operates... Cycling uh huh tell me about it, have tried rowing? …intriguing.A light diversion from the subject Q: could pudendal nerve and or pudendal diaphragm ‘injury’ mimic the typical raft of prostatitis symptoms. Im a 69 75kg fit male. A background of long/ultra distance running, cycling, skiing and rowing. I fully appreciate the effects of age onset sarcopenia and thinking that could effect the stability and strength of the pudendal structures?

[@govagova9833]

Im having serious numbness in the genital area(penis + testicles). Does this mean that it has to be due to the pudendal nerve? Or could it be something else?

[@OlGoodJoe]

Supurbe! Very excited to find your videos.

[@josepheshun451]

good teacher

[@asmaeboulanouar1322]

thank you so much teacher !!!!

[@leonoci2158]

Hi Sir its good explanation, can you please help me. How to treat this nerve i did physical therapy for 1 year now, nerve block also. do you have any advice.Thanks

[@davidd9325]

Do have any hip flexor or leg pain from this illness?

[@tlp7645]

Hi I have been investigating this I found 2 doctors one in Seattle jasonattaman.com/pudendal-neuralgia-treatment/ and in Los Angeles Watch "Pudendal Neuralgia: One in Los angeles Dr. Aaron Filler - Spine & Nerve Health" on KZbin kzbin.info/www/bejne/a6TYd2Ntr5lli6c

[@rabihdimachki6918]

@@davidd9325 How is a hip flexor pain related and what is the suitable treatment? Any links would be appreciated.

[@superanimals9031]

Hello . I have been treated. i healed

[@yaffakapuri3073]

​@@superanimals9031 can i talk

[@brydie-leesheen9073]

If someone undergoes ULAR for removal of adenocarcenoma and is left with stabbing 24/7 nerve pain, which part of the pudendal nerve would most likely be affected and what is likelihood of full recovery. Thank you.

[@sureshchandolu8559]

What a great video sir...i am suffering from pn issue, lba and tingling sensation in the penis is on and off manner. hip strenthening exercises helped me..my errections r good and bowls r under much control. .can u plz guide me to solve this..tqqq

[@superanimals9031]

Hello .

[@taqua2000]

really great video thank you soo much

[@juanbernardorosero455]

Hello, finally a cristal clear explanation. I am struggling with pudendal neuralgia almost 3 years. Please if someone can recommend videos or treatment links. In my country I have not yet found one single doctor that have treated this neuralgia, or understand fully how to deal with it. Great video, and greetings from Ecuador.

[@patron9981]

how are you today? are you cured?

[@baronovuru8931]

Good evening sir am Baron from Nigeria occupational therapy assistant I love your anatomical explanations more glucose to your brain keep it up

[@aydaradfar9676]

Thank You !!!

[@rashad1saifullah]

Would you say for cyclists the narrower, firmer bike seats are actually better as the weight is more on the ischial tuberosities and hence less soft tissue compression?

[@Me_ThatsWho]

i injured the PN on my bike seat. From experience, I'd say it's critical to support the ichial tuberosities (but avoid too hard or too soft and also avoid too narrow or too wide). Also, remove all pressure from the perineum. However, if you have problems in the so-called kinetic chain, you'll develop a problem anyway, sooner or later. So many things can affect the PN too (like childbirth, constipation, etc). It's a whole subject in itself, as I've learned.

[@rashad1saifullah]

@@Me_ThatsWho Thanks! Hope you recover well. I was planning to angle the seat downwards so pressure is off the perineum and sort of just sit with the ischial tuberosities on the back part of the seat. what do u think about this ? www.amazon.ca/gp/product/B016KI2QLG/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1

[@Me_ThatsWho]

@@rashad1saifullah There really are no guarantees with this. No magical seat. I actually got injured upon switching to the "perfect' seat (it was supposed to be safer). Yep, i had angled the nose downward too. The issue is that the seat is only part of the problem. The answer is to pay close attention to any odd sensations in your pelvis, hip, or inner thigh; if these occur while riding, stop riding. You can't 'muscle through'. P.N. pain feels like you're sitting on a very hard, sharp rock (or lego piece) 24/7. Its quite scary.

[@rashad1saifullah]

@@Me_ThatsWho Thanks alot. Im just wondering how those marathon cyclists do it. If I stop riding and take lets say a 5min break everytime I begin to feel some discomfort starting do you think any damage will be done?

[@Me_ThatsWho]

@@rashad1saifullah I'd say the marathon riders are more at risk. The term Cyclist Syndrome actually comes from cases of distance road riding ! Ive heard of fewer mtn bikers who get it. Watch out for numbness in your genitals while doing either sport.. Bad sign.

[@abhisheka4379]

Hello sir , been watching all your videos for my exams next week , can you please make a video on uterus ( supports and all) . Love from India !! Thank you so much ☺

[@SamWebster]

I'll add it to my to do list but it will be a while. It feels like this topic will need some more clingfilm...

[@abhisheka4379]

Sam Webster thank you sir

[@SamWebster]

It looks like I've already done it: kzbin.info/www/bejne/hoTPo36Hor9pibM & kzbin.info/www/bejne/rGerh2Sbh8yVosk

[@abhisheka4379]

Sam Webster will see it , thanks sir

[@Djsoulful]

@@SamWebster why do you keep deleting my replies asking someone for help?

[@DaRyteJuan]

ZOMG, Sam. Because of my last “doctor.” a D.O., I had to cram your videos in order to get a leg up on her. That is, because my ALMOST COMPLETE LACK of medical knowledge, my last “doctor” had a HUGE leg up on me and was whipping me around with skills. Thanks in part to your STUPENDOUS videos (in particular the ones on the inguinal canal on both the male and female pelvises) I was finally able to even the score and wrap her around the flag pole. She quickly DUMPED me from her practice. So now I’m with a new doctor, an M.D. who’s TERRIFIC. Whereas I had thought the first “doctor” was very smart, this new doctor puts her to shame. What I’m saying is that along with a lot of other STUPENDOUS med school type videos, I had to turn all of you here on KZbin as a method of survival against a predatory “doctor.” Now that I was able vanquish this evil spirit, I could finally turn my attention back to my _actual_ vocation which as nothing to do with the medical field. So, in some ways, I feel like you’re a true and trusted friend and I missed taking in your STUPENDOUS content. Thank you, Sam. 👍 🙏 Oh, and by the way, my dad is from Cardiff, so you just scored EVEN MORE points! 🏴󠁧󠁢󠁷󠁬󠁳󠁿 👍

[@cass71291]

Sir, it's now SEP 2022. Can you answer a question for me? Won't ask until I know you are still active with your content. Thank you, Christopher NYC

[@Eros1995anfield]

How can i contact you?

[@kaushalyaabeygunasekera9588]

Nailed ❤️🙏💪🏻

[@sakshamsaksham3272]

Hii sir i am from india i just want to know does miner fistulla in ano surgery can cause pudendral nurelgia sir i have gone for surgery of fistulla in 2022 september after that around 2 months after it i got bad back pain which was radiating to one testis slowly my back pain and testis apin gone what after that i am suffering from inner thies pain ,penis numness ,perianl pian , does it is due to past back pain or due to fistulla surgery

[@satwinderdhariwal]

Hello Sam I have a question you may be able to answer. With the dorsal arteries in the penis that run parallel to the right and left of the dorsal vein and they branch outwards towards the penile head. My question is that I can feel these arteries with my fingers they're very hard like cords/strings more prominent during erection. Should these dorsal arteries (not deep ones) be easily felt by touch under the skin of the penis as hard corded structures or should they be soft that you shouldn't be able to feel them besides a pulse? Thanks your answer would be helpful 🙂

[@yahyaelhaddaf5535]

نعرفك

[@SH-yu3tw]

it's not shameful in that sense, more like "prude"

[@tenhebrewexecutioners341]

A real societal question: Which one of those nerves has the propensity turn to a person against their NATURE... like a man into a homosexual, etc.?