I posted a couple weeks ago but didn't get much input. I had a microdiscectomy on l5s1 about a year ago for some sciatica and genital numbness on one side. Im in my 20s with no other health problems.
I had a bad flare up about a month ago and the pain, numbness, etc got real bad. I scheduled appointments with a few docs to go over options.
Most in concern is my genital numbness, i am also getting back/buttock pain that isnt too bad but noteable, also i have tingling in the same side foot. It seems as though i have symptoms of cauda equina syndrome which according to every website is a huge medical emergency to decompress, but none of the surgeons even seem alarmed.
My doctor does not seem to think that a second surgery would help but he will do it if i want. I also decided to get a 2nd and 3rd opinion who also didn't think that would help. Ive done physical therapy and also saw someone for manipulative medicine which only seem to be aggravating the problem. Since Ive seen him i think i had another flare up and it seems to only be getting worse.
They all seem to think that s1 doesn't supply the genitals, however my mri does say that there is central canal stenosis (what I would say is the definition of cauda equina syndrome)
My most recent MRI says:
l5-s1: "Decreased T2 weighted signal at the central/right paracentral ventral epidural space, most consistent with protrusion. This is slightly larger than prior study (5 months ago), This shows some curvilinear enhancement most likely representing postsurgical scarring versus annular fissure. Moderate foraminal stenosis reidentified bilaterally."
I also received a sacral one that was unremarkable.
The one before that mentioned "6.6 mm disc protrusion resulting in mild-to-moderate right central canal stenosis and obliterating the right lateral recess, likely compressing right s1 nerve root"