Surgery headsup

Maeve -

To all those considering coccyx surgery. Women have a considerably more complex pelvic region then men. Ovaries, fallopian tubes and uterus are sensitive and important organs. The nerves which support these organs, the intestines, bowel, bladder and all sensation in our "saddle" area reside near where a damaged coccyx often ends up. The surgeon needs to cut through tissue and get through and around various nerves and organs to physically remove the broken coccyx. The path that is made to enter and remove the coccyx could prove more damaging.

In my situation I was told that the position of my fractured coccyx would force the surgeon to work dangerously close to nerves servicing bowel, bladder and "saddle" sensation. Additionally the scar tissue would form right where my bone fragments now reside effectively changing little of my interior landscape. Lastly, chronic coccyx pain is often due to nerve damage and whatever pain originates from the fracture naturally subsides with time. Thus removing the bone fragments has little impact on the true source of the discomfort which stems from serious nerve damage.

Surgery is a wonderful solution for specific types of coccyx damage. Be certain you are working with a conservative surgeon that has done his homework. The medical community does not understand all of the mechanisms behind chronic pain. They know even less about coccydynia. The fact that you are using this web site gives you a huge advantage in conquering this challenge. Keep doing your research, stay positive and remember you are not alone!

Note from Jon Miles

See also the section on coccygectomy. Several people who have written to this site have said that they have been warned that there is a risk of losing control of their bladder or bowels if they have their coccyx removed. In fact, such complications did not occur in any of the 200 operations included in the medical papers listed here.

My recommendation (as a layman) is: before going for surgery, be sure of two things: that you are a good candidate for surgery, and that your surgeon has plenty of experience and success with this operation.

Updated 2004-05-23

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