Sacrospinous colpopexy: management of postoperative pudendal nerve entrapment.
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.


METHODS
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.


CONCLUSIONS
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.
Alevizon
S J
SJ
Department of Obstetrics and Gynecology, Ochsner Clinic, New Orleans, Louisiana, USA.
Finan
M A
MA
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010502:Perineum / Q000294:innervation*; D011183:Postoperative Complications; D013537:Sutures / Q000009:adverse effects; D014596:Uterine Prolapse / Q000601:surgery; D014621:Vagina / Q000601:surgery*