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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45992
Experience:  Board Certified Physician
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I had emergency decompression of L4/L5 for CES and cannot feel

Customer Question

I had emergency decompression of L4/L5 for CES and cannot feel any sex sensation at all. My Neuro said that I have a prolapse at S1 still. What is happening
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

sounds like pretty bad cauda equina syndrome.

Dr. David :

your S1 sacral bone could be pressing on your sacral plexus and causing loss of sex sensation.

Dr. David :

are you able to control your urination and bowel movements.

Dr. David :

many of the sacral plexus nerves exit the sacrum and control pelvic functions such as urination and bowel movements and sexual function as well.

Customer: No control of bladder, self catheterise and just constipated use micro enemas and wait to 'go'
Customer: Is there any hope. I am only 57
Dr. David :

you need an MRI scan of your pelvis and sacrum

Dr. David :

to see if the sacral plexus was damaged in the surgery.

Dr. David :

it sounds like all of those sacral plexus nerves have been damaged or severely injured in the surgery.

Dr. David :

these nerves control sexual sensation, bladder function and bowel function.

Customer: Had MRI, but Neuro says he did a good job, it feels like I am 'dismissed' (NHS for you) it's like that's all he can do,
Customer: I wondered if I should try more. I try to work, can walk - just, have left foot drop, I have something called saddle numbness, but each time I am seen, it is very rough when he sticks green needles into my vulva and anal region. - quite deeply, as if I am pretending I cannot feel. Is he just being defensive? I am using static bike can do almost 3km in 15 mins. I don't want anyone in trouble, just to know how I can feel again and ,make my partner happy, is there anything?
Dr. David :

it sounds like they are being very defensive.

Dr. David :

because they know they caused this numbness for you.

Dr. David :

you can ask to try medications like neurontin or lyrica

Dr. David :

to see if they help your nerves recover

Customer: Oh no, I am a Nursing Regulator, I just want care, where do I go to get some help now?
Dr. David :

you should ask to see a neurologist.

Dr. David :

to get nerve conduction studies of your pelvis and sacral plexus.

Dr. David :

and see if neurontin or lyrica can help.

Customer: Thank you.
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