Neural pain after uterosacral ligament vaginal suspension.
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.
Lowenstein
Lior
L
Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. llowenstein@lumc.edu
Dooley
Yashika
Y
Kenton
Kimberly
K
Mueller
Elizabeth
E
Brubaker
Linda
L
D005260:Female; D006801:Humans; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis* / Q000601:surgery*; D009437:Neuralgia / Q000175:diagnosis* / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery*; D012447:Sacrum / Q000601:surgery; D016896:Treatment Outcome; D014596:Uterine Prolapse / Q000601:surgery*; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000601:surgery