title: Neural pain after uterosacral ligament vaginal suspension.
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.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. llowenstein@lumc.edu
authors.forename: Lior
authors.initials: L
authors.lastname: Lowenstein
authors.forename: Yashika
authors.initials: Y
authors.lastname: Dooley
authors.forename: Kimberly
authors.initials: K
authors.lastname: Kenton
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mueller
authors.forename: Linda
authors.initials: L
authors.lastname: Brubaker
mesh_terms: 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