Sensory neuropathy following suspension of the vaginal apex to the proximal uterosacral ligaments.

International Urogynecology Journal
T Ignacio MontoyaMarlene M Corton

Abstract

Reports of sensory neuropathy attributed to uterosacral ligament suspension (USLS) have emerged. The objectives of this study were to assess the rate of sensory neuropathy symptoms following transvaginal USLS at a single institution during a 5-year period and to describe the evaluation, management, and outcomes in these patients. A retrospective review of records identified 278 women who underwent transvaginal USLS during the study period. Inpatient and outpatient records within the first 4 weeks postsurgery were reviewed. Women with new-onset buttock and/or lower-extremity pain, numbness, weakness or a combination of these symptoms were identified. Demographic data, intraoperative data, and management modalities and outcomes were collected. Nineteen (6.8 %) women met criteria for inclusion. The most common symptom was buttock pain (73.7 % of cases). Pain radiation to the ipsilateral posterior thigh was present in 11 cases (57.9 %). The majority of women (73.7 %) reported pain symptoms on the right side. Conservative treatment modalities were initially implemented in all women. Four women (21 %) underwent suture removal a median of 1.75 months after USLS. Full symptom resolution was reported in 13 (68.4 %) women a median of 6 m...Continue Reading

References

Oct 1, 1996·Obstetrics and Gynecology·S J Alevizon, M A Finan
Mar 1, 1997·Obstetrics and Gynecology·E H Sze, M M Karram
Oct 6, 2000·Anesthesiology·M A WarnerP M Maxson
May 20, 2005·American Journal of Obstetrics and Gynecology·Michael P AronsonStephen B Young
Sep 2, 2005·Obstetrics and Gynecology·Anne M Weber, Holly E Richter
Mar 9, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Lior LowensteinLinda Brubaker
May 31, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Sohail A SiddiqueVictoria L Handa
Oct 4, 2006·American Journal of Obstetrics and Gynecology·Michael K FlynnCindy L Amundsen
Dec 7, 2007·American Journal of Obstetrics and Gynecology·Cecilia K WieslanderMarlene M Corton
Apr 29, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·M A Schön YbarraV L Handa
Feb 2, 2010·American Journal of Obstetrics and Gynecology·Rebecca U MarguliesDaniel M Morgan
Aug 25, 2010·Obstetrics and Gynecology·Nazema Y SiddiquiAlison C Weidner
Sep 6, 2011·International Urogynecology Journal·Christopher P ChungBobby L Shull

❮ Previous
Next ❯

Citations

Jun 19, 2013·American Journal of Obstetrics and Gynecology·T Ignacio MontoyaClifford Y Wai
May 23, 2016·International Urogynecology Journal·Dorit Paz-LevyAdi Y Weintraub
May 23, 2016·International Urogynecology Journal·Pedro A MaldonadoClifford Y Wai
Oct 30, 2016·American Journal of Obstetrics and Gynecology·Maria E Florian-RodriguezMarlene M Corton
Jun 29, 2017·Female Pelvic Medicine & Reconstructive Surgery·Megan S BradleyNazema Y Siddiqui
Oct 17, 2017·Journal of the Chinese Medical Association : JCMA·Feng HuangMan-Zhen Zuo
Sep 5, 2018·Female Pelvic Medicine & Reconstructive Surgery·Benjamin C SmithRachel N Pauls
Aug 18, 2021·Magnetic Resonance Imaging·Nucelio LemosSuzan Menasce Goldman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.