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I have had endo removed recently and also been diagnosed with hiatas hernia and herniated disc in back although from MRI, this is not pressing on nerves. I have had bladder probs since last August and either do not get sensation to go much or usually the other way where I am getting the feeling to go all the time, all day, every day. I have huge irritation every day (approx 4-5 inches) beneath my tummy button exactly in the middle of surapubic region and just under c-section, it is roughly the area of a couple of coins and is absolutely unbearable. It feels like I need to urinate all the time kind of sensation, sometimes shooting pain down to urthethra even if just sitting still. I also get pain in my urethra, does not hurt to pass urine. I am desperate for an answer as to what is happening to me. I thought it was IC, my dr has ruled this out as I had cystoscopy as all clear inside me. Could this be nerve entrapment, they did not see this on MRI or any other nerve problems. I do not want to go through bladder installations unless I have to and injections for endometriosis also. Which nerves run downwards through middle of surapubic area? Please advice asap, thanks
Thanks for your question.
I am sorry to hear about your symptoms.
It is possible your symptoms are nerve entrapment related in view of normal cystoscopy.
Sacral nerves are innervating the affected area arising from the sacral spine.
This can be checked by the nerve conduction study.
Since MRI did show herniated disc ( if this is at the level L5, S1) then this can be the contributing factor.
In case there is documented nerve entrapment from the nerve conduction study, then nerve blocking injections should be helpful.
Surgery is another option to remove the pressure on the affected nerve.
You should consult with a neurologist first for the nerve conduction study.
Pelvic endometriosis is another possibility and this can only diagnosed by the laparoscopic ally.
This possibility should be considered in case nerve conduction study comes back normal.
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I have a laproscopy done and all as far as I am aware endometriosis was removed. The MRI showed no nerve entrapment just small herniated disc in L5/S1 area. The pain is confined to a small area in mid-surapubic area just below old c-section scar and affects daily life. I can only wear fitted trousers for a short time and then I get pain. Are there nerves in this area that run down to the urthera, would any problems show on MRI? thankyou
Yes they are
As I said aboe even a small disc herniation can cause pinched nerve related symptoms.
THis can be confirmed by the nerve conduction study ( different test).
Sinc you have history of endometriosis, this is your next possibility.
Usually combination hormone pills should be helpful in case this is endometriosis related.
But I will suggest you to see a neurologist or spine surgeon first.