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Help/advice needed re TLIF/PLIP back operation

Cool B

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Hi everyone I am new to the forum and this is my first post.

I have had scoliosis and disc L4/L5 disc problems since the age of 19.

In November last year I had a discetomy on L4/L5 and it was totally sucessfull no pain at all for 5 months than bang in April this year the pain came back much worse than before so much so that I am now on a raft of medications.

My consultant having seen my latest MRI wants me to have either the TLIF (transforaminal lumbar inmassageplanetody fusion or the PLIF postero-lateral instrumented fusion. I am terrified and he has given me 6 months to make my mind up about this op. Trouble is been on the internet to find out information about these operations etc but its hard to find anything which is not based in USA i.e. patient stories of these operations and what to expect before/during/after the operation etc.

This is why I have decided to become a member and post because I know this site was a god send for me before and after my discetomy operation.
 
Sorry Mel, I didn't see your post till now.

Fusion is the very, very, very last option ever!! Only after you have run out out of all other options do you even think about it.

The reason you can't find information is because the fusion equipment manufactures and their sponsered Surgeons don't want you to find any.

Although modern versions are better, it is still the most destructive procedure and offers clinical outcomes as low as 20% for 3 years and over. Repeat operations are common place!

I read an article from the states which said that when a government health inspection body wanted to run Randomised Control Trials and clinical outcome inspections on Fusion procedures the Companies and their sponsered Surgeons went to Congress and pulled the funding for the entire insection team and closed them down.
Fusion is big bussiness and patient satisfaction is not the priority!

If I can find the article, I will post it, its an eye opener!

The NHS in Cardiff have never carried out any RCT's of fusion and decompression, yet it is carried out every day!!

Do Your research on minimally invasive endoscopic spinal surgery as this will offer the best clinical outcome for you and will reduce the unnessasary destruction you face with fusion.

Best wishes


SPINELF
 
Thank you so very much SPINELF and sorry I have not replied sooner but I gave up hope of anyone replying to my thread. It was so kind of you to reply and the information you gave me very helpfull I will go and take a look at minimally invasive endoscopic spinal surgery as you suggested.

My gut feeling is to not have this operation and after talking to my G.P. who told me even after 6 months to not feel under pressure to have this operation as if my back gets really bad in the furture I can always revisit having it done. The strange thing is I have not heard anything good about fusion surgery so I think i pretty much made up my mind not to have it done. Thank you so much again for your kindness in taking the time to reply with great information best wishes to you Melanie
 
Thank you for kind words Mel, it was no problem at all, we are all hear for you, any time!

Its great that you did your research and arrived at a well thought out decision that you feel is right for you, well done!
Me & Cassie are proud of you!

Have look at these sites for your research Mel:

www.bonati.com
www.laserspineinstitute.com
www.microspine.com
www.spinal-foundation.org

let us know what you think?

Best wishes

SPINELF
 
Hi Mel_kim,

I am awaiting my seconed spinal surgery (ALIF). I was just woundering did you go ahead with your surgery or not. in your last posting you had opted not to have it done.

I have been suffering with back problems for over 10 years and I have decided to go for it (fusion, ALIF). If the pain is so bad and life becomes so worthless, you would try anything.

Any feedback would be most welcomed.
 
I was offered ALIF last week and when I questioned the surgeon about why he thought it was the only option he was a bit stunned when I explained the MISS approach to him and said that was what I wanted and not 6 -8 screws and bolts with rods with the prospect of more surgey later as the next level gives way under the stress... to which he proudly said we can add as many bolts and screws to fix that too all the way to the top! Totally ignoring the alternative treatments via endoscope. After a lengthy discussion he agreed to refer me to an endoscopic surgeon.

MISS is the way to go, we need more MKs! Most other countries use it now including many that the UK might think are not as cutting edge as us The UK needs to catch up and stop using barbaric methods to treat backs.
 
Hi Guys

MISS is not always the answer to your problems. It has its drawbacks as you may need more than one attempt to sort out the problem, as in my case.

Also, fusion should be seen as a very last resort (in my opinion). I have had ADR (artificial disc replacement) surgery at two levels which should be a solution to the problems I have been suffering. Still early days yet, but people shouldn't get hung up on what is 'right' and 'wrong'.

In the early days of my problem a discectomy allowed me to carry on with my life, until the degeneration grew worse.

I don't think it is fair to try to make people believe that some procedures are ultimately 'butchering' because they aren't.

We should be supporting people who are thinking about surgery, or waiting for it, not frightening them away from it.

Maz
 
Fusion can also be done with minimally-invasive approach.



Unfortunately, traditional methods are still mostly used, but they indeed are "butchering" and too big percentage of people with this surgery end up in problems.
 
Thats not entirely correct is it? If the problem is a only one level or at least only one side then it can easily be carried out in one Endoscopic MISS operation. However, if it requires both sides to be accessed then, yes, that is two operations. Attempt is the wrong word, because I am sure that if an 'attempt' failed then another 'attempt' would be made rather than one operation being a success but another disc prolapse still causing pain and so needing another operation?

I want to understand this, so please try and see what I am saying here?
 
Can it really? Please tell me more as most seem to go in gung-ho cutting 6-10 inches and cutting off bone then scraping muscle away from bone and quote one of my prospective surgeons " we hav to destroy so ve can fix!"
 
The question as put seems to ask - operation or not? - which is a bit polarised, and missing out on many other questions. Top of the list should be 'what other ways are there to approach this problem?'.

I'm used to this kind of advice falling on deaf ears in the spine surgery section. Strange that, I have no idea why that should be, but hence I usually don't post here very much anymore.

I echo Mad_Maz' sentiment, that fusion is a last resort, but I'd take it further, and say that surgery should be last resort.

However, you have six months to get some relief another way, I suppose. How about finding out if the scoliosis or some of the associated factors can be relieved - thus perhaps taking pressure off the strained areas? You may have been told not, I would say don't keep asking those who say it can't be done, but try and track down somebody already doing it.
 
Yes, it is possible. Advantage of this procedure is less tissue and muscle damage, reduced chance of nerve damage, less bleeding, much quicker recovery...

I am sure there are a lot of ways of doing this, but I think most spread technique is tubular retractor assisted discectomy (aka METRx) and then percutaneous transpedicular screws and rods with other system (SEXTANT).
 
Statement that surgery should be the last resort depends only on patient, his symptoms, imaging and the fact if his condition reduces his normal daily activities.
 
Is any of this available on the nhs or private. In either cases would you please tell me where and who should I go to see. I am willing to go to the ends of the earth to be in the right hands. My first surgery, 4 years ago, was a disaster and I am terrified of a seconed one, unless I feel I am in trusted hands and a sugeon with proven track record.

Also, is the ALIF procedure applicable to these techniques ?

My problem is that, in addition to my DDD in the L5/S1 disc, I have developed a degeneration in my facet joints at this level due to failure of the first operation (non instrumented posterior fusion), the surgeon did not remove the disc. I have been told that ADR would not be an option for me now since the facet have been compromised.

I have absolutely no life quality and I have tried everythink from physio, chiro, accupuncture and you name it. The only benefit I got, if any, is temporary and the flare-ups retunrs as soon as you move a little bit out of the norm or else I wake-up in the morning having slept on the wrong side !

Thank you for all of the valuable information posted.
 
Hello,

sorry, I am not from UK so I can't help you about the doctors and technology availability...

ALIF can be done with some other MISS techniques, but not with METRx and SEXTANT as it is done anteriorly (trough your stomach).

For L5-S1 disc, if you are a candidate for spinal fusion, you should explore possibility of trans-sacral fusion (surf about Trans1 AxiaLIF). It is minimally-invasive fusion method. Quote: "Using AxiaLIF, the lumbar spine is accessed through a minimally invasive opening adjacent to the sacral bone."

But for example TLIF is not a disaster surgery there is a good indication and patient selection. Two of my friends had fusion recently (one PLIF, one TLIF) and they are booth doing great and getting better and better every month).
 
Like Mel_Kim did initially after discectomy. I want to know what this is like in ten, 20 and 30 years' time.
 
Around 30% of people with traditional discectomy end up in problems. Maybe situation would be different if she had minimally-invasive treatment at the time? This is rhetorical question.
 
Sure it's rhetorical, but it's an important issue. Long term outcomes are very important too, surgical changes are difficult to reverse and may have implications for future health and other approaches to change.

Hence as per Ashfar ruling on informed consent:

complete risk profile
remote but possible risks
need/indications
expected benefit and likelihood of benefit
prognosis without intervention

are all pertinent and should be covered in all discussions with prospective patients, and with reference to the evidence base.

I would add that consideration of alternative interventions and other options should be made on an impartial basis, and statements such as 'this is the best intervention', 'there is no other way', should be avoided.

I'd say Mel_Kim has a lot of questions still to ask.
 
Dear keano,


I searched and was amazed, thats so much better! Do you know if they can do S1/L5/L4 or even to L3? or is it limited to one level fusion because of the miss?
 
It can be performed as two level procedure L5-S1 and L4-L5... But not only L4-L5.
 
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    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐•„๐”ธโ„โ„‚โ„ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ MARCH 28th , ๐“ฃ๐“—๐“ค๐“ก๐“ข๐““๐“๐“จ ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 6๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒน๐Ÿ†• CHERRY ๐ŸŒน CECELIA ๐ŸŒน๐Ÿ†• SUNNY ๐ŸŒน๐Ÿ†• SOPHIE ๐ŸŒน ๐ŸŒนERICA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ & ๐Ÿ†• SOPHIE & ERICA & ๐Ÿ†• SUNNY & CECELIA & ๐Ÿ†• CHERRY โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€๐Ÿ€
  23. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅJAV MODEL CHANEL AND SEX QUEEN ZOE
  24. Lily Spa:
    โค๏ธ KAJAL, CAMILLA and KK are here today for your massage needs โค๏ธ Lily Spa โค๏ธ 2190 McNicoll โค๏ธ Scarborough โค๏ธ M1V 5M2 โค๏ธ (647) 531-8288 โค๏ธ
  25. SpringGreen.:
    Today we have 5 girls on wednesday๏ผš New Spanish bunny ๐Ÿ’‹๐Ÿ’‹Diana - Tanned Spanish beauty with large melons and a fun booty too Wendy- exotic goddess with a gymnasts body and corresponding flexibility CiCi- Exotic beauty with great service and attitude kk- Spunky fun in a nice package new litina buny Call...
  26. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Young Sexy Slim Chinese Kiki, Sexy Chinese Abie & Young Sexy Chinese Jessica, Slim Chinese Lisa
  27. Moneylee:
    All season wellness center : young girl pretty face nice figure Thai deep massage Helen,Young girl big breasted beautiful buttocks charming temperament Alice ,Young girl Big breasted saucy naughty Ella , Enchanting sexy petite deep massage Sherry ,address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  28. Moneylee:
    Full season wellness center: Young girl big breasted beautiful buttocks charming temperament big boobs Julie ,Young girl big breasted beautiful buttocks charming temperament big boobs Nina ,Young girl Big-breasted big big butts Aris ,Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  29. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Kelly๐Ÿ˜˜๐Ÿ’•is beautiful young student, busty with sexy body and provides very good massage and excellent service. So friendly and very sexy. Ivy โค๏ธ is new girl in our branch, shy and sweet but also very vocal and needy, she demands your happiness
  30. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ ASHA, MONIKA, RAVEN, AMANDA, DELILAH, PRIYA, SANA, EVA ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  31. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅJAV MODEL CHANEL AND SEX QUEEN ZOE
  32. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , sweet new girl Amy and pretty GFE Ella, cute open mind Lina and friendly Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  33. Peony Garden Spa:
    ๐ŸŒธ2 GIRLS AVAILABLE ๐ŸŒธ EMILY: A CURVY PETITE THAI GIRL THAT IS VERY FRIENDLY AND SPEAKS FLUENT ENGLISH, VERY OPEN WHEN IT COMES TO SERVICE ๐ŸŒธ YOYO: A YOUNG SLIM REAL SCHOOL GIRL THAT IS NEW TO THE BUSINESS, SPEAKS FLUENT ENGLISH AND VERY FRIENDLY TO TALK TO ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  34. Sunrise Health Centre:
    Amy & Michelle are in Today! Call/Text: (647) 325-8086 ๐Ÿ’ฆ We have Hot & Sexy Girls Every Day. They all do Extra Services & are Very Open-Minded ~ Drop In Anytime - Walk-Ins Are Always Welcome! Unit 27, 10 East Wilmot Street, Richmond Hill
  35. HolidaySpa:
    Wednesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธKelly & Kiki. Kelly is slim and attractive with very slight curves, a nice bum, and rockinโ€™ services. Kiki is very attractive, young, about 5โ€™4โ€ and 110 Lbs., slim with a banging body. Kiki is very popular for her great attitude and services.
  36. ForeverWarden:
    Wednesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella & Sasa. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Sasa is a slim & sweet Korean lady, about 5โ€™4โ€ with C Cups.
  37. New Oriental Health Centre:
    Vivian & Happy are here today๐Ÿ’„~๐Ÿ“žCall ๐Ÿ“ฒ Text: (647) 381-2688 ๐Ÿ’„ Make Your Day Incredibly Delicious ๐Ÿ‘ Our girls provide lots of service options & are Extremely Open-Minded ๐Ÿค— We're Open 9am - 2am everyday! Drop in to Unit 26, 10 East Wilmot Street, Richmond Hill.
  38. Bellagio Wellness &Spa:
    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐•„๐”ธโ„โ„‚โ„ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ MARCH 27th , ๐“ฆ๐“”๐““๐“๐“”๐“ข๐““๐“๐“จ ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 7๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒน๐Ÿ†• LILIAN ๐ŸŒน๐Ÿ†• CHERRY ๐ŸŒน CECELIA ๐ŸŒน๐Ÿ†• SUNNY ๐ŸŒน๐Ÿ†• SOPHIE ๐ŸŒน ๐ŸŒนERICA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ ๐Ÿ†• LILIAN & ๐Ÿ†• SOPHIE & ERICA & ๐Ÿ†• SUNNY & CECELIA & ๐Ÿ†• CHERRY โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€
  39. hiyamickey:
    6 young sexy girls working @ 3555 14th Ave unit #7 Markham, โ˜Ž๏ธ๏ผš905-470-8082
  40. Lulu1980:
    Good afternoon guys๐Ÿ˜˜ Today we have Jessica and Samantha and Jessica here for you๐ŸŒน๐ŸŒน๐ŸŒน, awesome table shower with body slide super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜๐Ÿ˜5124 Dundas St W Etobicoke โ˜Ž๏ธ 416-817-3366
  41. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEEN ZOE NOW AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆBLASIAN ALIYAH & SEX GODDESS ZOE
  42. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ MAY, ASHA, MALIYA, SANA, AMANDA, PRIYA, ANAYA, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  43. SpringGreen.:
    Today we have 5 girls on Tuesday: New polish girl gigi ๐Ÿ’‹๐Ÿ’‹Salina- Eurasian beauty and breast lovers delight with nice rear with fun Mika - Japanese beauty who is wild and a fan favorite with exceptional service Candy - a sweet treat who enjoys her cream filled lollipop treats buny...
  44. bnwellness_wilson:
    Blue Nile Wellness Center, we have young 4 beautiful girls are working today , sweet new girl Amy and pretty GFE Ella, cute open mind Lina and friendly Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  45. Moneylee:
    All season wellness center : Young girl Big-breasted big Big boobs big butts Cindy , Young girl big breasted beautiful buttocks charming temperament big boobs Lulu,Student big boobs buttocks Vicky, Enchanting sexy petite deep massageSherry ,๐Ÿ  address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  46. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Mimi , Young girl big boobs beautiful face deep massage Bobo ,Young beautiful face sexy body and good deep massage star ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  47. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ NEW GIRL SELINA: A TALL SLENDER YOUNG ASIAN GIRL, VERY NICE ASSETS AND VERY SERVICE ORIENTED WHILE ALSO ABLE TO PROVIDE AN RMT LIKE MASSAGE ๐ŸŒธ DAISY: A PETITE CURVY ASIAN GIRL THAT IS VERY FRIENDLY AND NOT TIP HUNGRY ๐ŸŒธ JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  48. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Summer๐Ÿ˜˜, a very feminine woman, very sexy, affable and nice looking woman. Professional RMT Massage and provides great massages and incredible service. Must try the service of summer. Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy
  49. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Young Sexy Chinese Jessica, Slim Chinese Lisa
  50. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: Eva & Helen. Eva is young, slim, innocent & demure looks, but donโ€™t let her innocent looks deceive. She can massage & service very well. Helen is a sweet and very lovable Asian beauty with just enough curves to tease you, and an attitude to please you.
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