There are barriers preventing medical care for women with pudendal neuralgia from the transvaginal mesh. Now men join this miserable group. “

Pudendal neuralgia is the most serious consequence of the transvaginal mesh debacle. There are significant barriers preventing women with this complication from receiving proper treatment. Now the American Board of Obstetric and Gynecology arbitrarily have placed a restriction preventing its members from treating men with chronic pelvic pain.

Historically, prior to the transvaginal mesh debacle it was not uncommon for people with pudendal neuralgia to go undiagnosed suffering with sexual dysfunction, anorectal pain, and incontinence for years prior to obtaining a diagnosis. It was not unheard of that suicide could result from this medical malady. The only positive aspect of the transvaginal mesh debacle is that it has increased awareness in the medical community of the symptoms, signs, and treatments available for pudendal neuralgia. The transvaginal mesh debacle has caused thousands of women to suffer from pudendal neuralgia allowing the few physicians who treat this problem extensive experience in both the conservative and surgical management of this disorder.

Women with transvaginal mesh related pudendal neuralgia have significant barriers preventing treatment by a physician with all the necessary skills required to treat this disorder. First, very few doctors have the surgical skills necessary for decompression of the nerve. Second, many doctors are still unaware of the symptoms and the significance of those symptoms. Third, many women do not have the finances to travel to other states that have these experts. Forth, many women do not have insurance that allows for ‘elective’ care across state lines. Fifth, women with transvaginal mesh lawsuits generally will have difficulty getting legal financing for both mesh removal and the nerve decompression.

Men with pudendal neuralgia because of the arbitrary decision of the American Board of Obstetric and Gynecology can not be evaluated and treated by the most experienced doctors for their required medical care for this difficult to treat diagnosis. The American Board of Obstetric and Gynecology decision to prevent their members from treating men with pelvic pain either reflects that they too are oblivious to the problems in access related to receiving state of the art care for pudendal neuralgia or they simply have very little respect for the skills of its members.


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