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International Urogynecology Journal

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01-09-2009 | Original Article

Etiology of post-uterosacral suspension neuropathies

Authors: M. A. Schön Ybarra, R. E. Gutman, D. Rini, V. L. Handa

Published in: International Urogynecology Journal | Issue 9/2009

Abstract

Introduction and hypothesis

The goal of our investigation was to find a neurological explanation for neuropathies reported following some uterosacral ligament suspension (USLS) [2-3].

Methods

We dissected the neural structures beneath the USL in seven female, adult, embalmed cadavers. We made a literature review to determine the spinal nerve sensory fiber composition of each exposed neural structure and the dermatome(s) that it innervates. We then compared anticipated sensory neuropathies for each neural structure with neuropathies following USLS to determine which neural structure entrapment could explain the reported symptoms.

Results

Several neural structures located beneath the uterosacral ligament (USL) are vulnerable to suture entrapment during USLS. Anticipated clinical outcomes of entrapments are discussed.

Conclusions

Entrapment of S2 sensory fibers in the second trunk of the sacral plexus or in the intrapelvic portion of the sciatic nerve is the most plausible etiology for reported neuropathies following USLS

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Title: Etiology of post-uterosacral suspension neuropathies
Authors: M. A. Schön Ybarra
R. E. Gutman
D. Rini
V. L. Handa
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 9/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0894-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Etiology of post-uterosacral suspension neuropathies

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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