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Obstetrics and gynecology · Oct 1996
Case ReportsSacrospinous colpopexy: management of postoperative pudendal nerve entrapment.
- S J Alevizon and M A Finan.
- Department of Obstetrics and Gynecology, Ochsner Clinic, New Orleans, Louisiana, USA.
- Obstet Gynecol. 1996 Oct 1;88(4 Pt 2):713-5.
BackgroundSacrospinous 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.CaseA 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.ConclusionPudendal 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.
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