News Feed Discussions Dr. Ulrike Muschaweck – the latest

  • Jack2021

    Member
    October 16, 2021 at 6:58 am

    As lasted from Wikipedia, ‘the cremaster muscle is a thin layer of striated muscle found in the inguinal canal and scrotum between the external and internal layers of spermatic fascia, surrounding the testis and spermatic cord. The cremaster muscle is a paired structure, there being one on each side of the body.’

    It’s basically the muscle which causes testicles to retract, so without it, testicles would be swinging around your legs all the time and wouldn’t have their heated regulated for better sperm production etc.

    My understanding is that the Shouldice Hospital do cut some of the nerves and the cremaster muscle, which I think they reposition, but Dr Kang doesn’t. A quick google will get you the minutiae.

    From my research, ‘if it ain’t broke don’t fix it’ seems to be the best approach to hernia repairs, so personally, I’d prefer a surgeon who leaves the nerves and cremaster muscle alone.

  • William Bryant

    Member
    October 16, 2021 at 12:35 am

    What does the cremaster nerve do? Also is it standard shouldice practice to sever nerves.

    Does the Shouldice Hospital and or Dr Kang cut nerves in their repairs?

  • Jack2021

    Member
    October 15, 2021 at 5:52 pm

    It may have changed, but my understanding is that costs are somewhere in the region of £6,500 or so for a single primary hernia repair including consultations with Dr Muschaweck.

    I also understand that Dr Conze locates and isolates the nerves during a primary surgery so as not to damage them, but I don’t know how this is done. He also does not cut the cremaster muscle, as per the original Shouldice technique and like Dr Muschaweck, has his own adapted Shouldice method.

  • Good intentions

    Member
    August 28, 2021 at 12:35 pm
  • Ben999

    Member
    April 7, 2021 at 1:37 am

    I’m not a doctor but I got IONR as a patient from Dr. Conze, who is/was a close colleague of Dr. Muschaweck.
    It got rid of the pain for about 1 to 1.5 years but the problem is that nerves regrow, which can lead to recurring pain.

    It’s still better than before when the mesh was fused to the nerve but it’s not a permanent fix.

  • SpringsMan

    Member
    March 11, 2021 at 10:37 am

    Surely many members here would like to know more about her new method of diagnosis and treatment.

    Specifically the “Intraoperative Nerve Response” (IONR) procedure to identify and localize the cause of pain, and this enables us to eliminate pain in almost all cases.” Can any of the Drs. here comment on this or know what it involves?

    Wondering if this is something that can be used before any surgery.

  • Alephy

    Member
    February 26, 2021 at 2:45 am

    It would be interesting to know how much it costs (I mean a standard surgery) and whether she is always leading the surgery or (more likely) her team takes over most of the time….

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