Abstract
Neural compromise has been reported after a wide variety of reconstructive pelvic procedures. We report on two women who had undergone a seemingly uncomplicated transvaginal uterosacral suspension for the treatment of pelvic organ prolapse. Both women presented shortly after surgery with a unilateral, shooting groin pain with radiation along the ipsilateral lumbosacral nerve distribution. Surgical removal of the permanent stitch and physical therapy provided prompt and near-complete relief. This case report describes the possibility of neural compromise after uterosacral ligament suspension.
Similar content being viewed by others
References
Barber MD, Visco AG, Weidner AC et al (2000) Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. Am J Obstet Gynecol 183:1402–1410; discussion 1410–1411
Shull BL, Bachofen C, Coates KW et al (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183:1365–1374
Karram M, Goldwasser S, Kleeman S et al (2001) High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol 185:1339–1342; discussion 1342–1343
Miller N (1927) A new method of correcting complete inversion of the vagina: with or without complete prolapse; report of two cases. Surg Gynecol Obstet 550–555
Aronson MP, Aronson PK, Howard AE (2005) Low risk of ureteral obstruction with “deep” (dorsal/posterior) uterosacral ligament suture placement for transvaginal apical suspension. Am J Obstet Gynecol 192:1530–1536
Verdeja AM, Elkins TE, Odoi A et al (1995) Transvaginal sacrospinous colpopexy: anatomic landmarks to be aware of to minimize complications. Am J Obstet Gynecol 173:1468–1469
Buller JL, Thompson JR, Cundiff GW et al (2001) Uterosacral ligament: description of anatomic relationships to optimize surgical safety. Obstet Gynecol 97:873–879
Gutman RE, Pannu HK, Cundiff GW et al (2005) Anatomic relationship between the vaginal apex and the bony architecture of the pelvis: a magnetic resonance imaging evaluation. Am J Obstet Gynecol 192:1544–1548
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lowenstein, L., Dooley, Y., Kenton, K. et al. Neural pain after uterosacral ligament vaginal suspension. Int Urogynecol J 18, 109–110 (2007). https://doi.org/10.1007/s00192-006-0082-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-006-0082-1