S J Alevizon1, M A Finan. 1. Department of Obstetrics and Gynecology, Ochsner Clinic, New Orleans, Louisiana, USA.
Abstract
BACKGROUND: Sacrospinous colpopexy requires the placement of a suture through the sacrospinous ligament, under which lies the pudendal nerve. Entrapment of this nerve may result in perineal or buttock pain. This report analyzes a case of pudendal nerve entrapment and studies the management of the resultant neuropathy. CASE: A 62-year-old patient experienced a chronic pudendal neuropathy with perineal and buttock pain following a sacrospinous colpopexy. Removal of the suture, 2 years after it was originally placed, resulted in immediate relief of her pain. She has been asymptomatic for 1 year following surgery. CONCLUSION: Pudendal nerve entrapment should be considered in the differential diagnosis of perineal or buttock pain after sacrospinous colpopexy. Relief of pain can be achieved even 2 years after initial surgery.
BACKGROUND: Sacrospinous colpopexy requires the placement of a suture through the sacrospinous ligament, under which lies the pudendal nerve. Entrapment of this nerve may result in perineal or buttock pain. This report analyzes a case of pudendal nerve entrapment and studies the management of the resultant neuropathy. CASE: A 62-year-old patient experienced a chronic pudendal neuropathy with perineal and buttock pain following a sacrospinous colpopexy. Removal of the suture, 2 years after it was originally placed, resulted in immediate relief of her pain. She has been asymptomatic for 1 year following surgery. CONCLUSION:Pudendal nerve entrapment should be considered in the differential diagnosis of perineal or buttock pain after sacrospinous colpopexy. Relief of pain can be achieved even 2 years after initial surgery.
Authors: Sohail A Siddique; Robert E Gutman; Miguel A Schön Ybarra; Francisco Rojas; Victoria L Handa Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-05-30
Authors: George Lazarou; Bogdan A Grigorescu; Todd R Olson; Sherry A Downie; Kenneth Powers; Magdy S Mikhail Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2007-11-24
Authors: Nicolas Pirro; Igor Sielezneff; Thomas Le Corroller; Mehdi Ouaissi; Bernard Sastre; Pierre Champsaur Journal: Surg Radiol Anat Date: 2009-06-03 Impact factor: 1.246
Authors: T Ignacio Montoya; Hillary I Luebbehusen; Joseph I Schaffer; Clifford Y Wai; David D Rahn; Marlene M Corton Journal: Int Urogynecol J Date: 2012-05-16 Impact factor: 2.894