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.
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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
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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
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DOI: https://doi.org/10.1007/s00192-006-0082-1