Guest guest Posted January 16, 2001 Report Share Posted January 16, 2001 Hello Ivan, In my experience this has never been stated to be a problem, Maybe the urethra is the same as veins in that they are quite rubbery and move out of the path of the needle. I have done about 10 CV1s on men now and seen the Px for weeks after with no reports of any discomfort. So that is one view. I like to use a slightly thicker needle that the usual thinnest ones I can get. It is also good to use a 1 and a 1/2 inch length. As sometimes it can be right at 10 fen depth. In both males and females it stings when it goes in and you need to quickly go to the depth, tonify and get out to reduce the discomfort of the whole thing. It can be harder to find the point on a man as the area can be 3 or 4 inches ( 8 cm) long as opposed to a woman where it is only 1 to 2 inches ( 2 to 5 cm) Gye - Geovani acupuncture Tuesday, 16 January 2001 1:42 acupuncture CV-1 geo> For those who are not pt of the 5E tradition, maybe this question will sound unimportant. They will say: "why man... treat another point, leave this one alone". But any 5E pt knows that CV-1 is absolutly nescessary when dealing with a CV/GV block. Well, in females I see no problem, except for the "strangeness" of the particular location (in the middle of the perineum). But in male px I DO see a big problem. Any man can make a simple experiment: -- while urinating, press the perineum over the urethra. With a small pressure one can block the flow of urine, indicating that the channel has been interrupted through the pressure of the finger. Now start moving your finger backwards (towards the anus) and one will conclude through this very simple experiment that the urethra travels all the way back untill just a few millimeters from the anus. So, at the recomended depth of one ACI, most certainly the urethral channael will be punctured, unless the needle is incerted almost "touching" the anal sphincter - wich is far from "the middle of the perineum" as recomended. I would like to hear some advice from someone who have done it, or have seen it being done. Could it be that the interuption of the urine flow in the experiment above, is some nerve reflex, and not a result of the direct squizing of the urethra? Or... could it be that perfurating the urethra is not harmful? Or maybe that the urethra will very simply get out of the way? The reason I am asking this is because I have a male px who may need it. Thanks, -geo- Quote Link to comment Share on other sites More sharing options...
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