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International Urogynecology Journal
Published in: International Urogynecology Journal 1/2014

01-01-2014 | Clinical Opinion

Pyogenic spondylodiscitis associated with sacral colpopexy and rectopexy: report of two cases and evaluation of the literature

Authors: Katie Propst, Elena Tunitsky-Bitton, Megan O. Schimpf, Beri Ridgeway

Published in: International Urogynecology Journal | Issue 1/2014

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Abstract

Pyogenic spondylodiscitis includes a spectrum of spinal infections such as discitis, osteomyelitis, epidural abscess, meningitis, subdural empyema, and spinal cord abscess. This is a rare complication of sacral colpopexy, but can lead to devastating consequences for the patient. We present two cases of pyogenic spondylodiscitis following sacral colpopexy. In addition, we discuss 26 cases of pyogenic spondylodiscitis reported in the literature from 1957 to 2012. Techniques to decrease rates of infection include proper identification of the S1 vertebra, awareness of the suture placement depth at the level of the sacrum and at the vagina, and early treatment of post-operative urinary tract and vaginal infections. Awareness of symptoms, timely diagnosis and multidisciplinary approach to management is essential in preventing long-term complications.
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Metadata
Title
Pyogenic spondylodiscitis associated with sacral colpopexy and rectopexy: report of two cases and evaluation of the literature
Authors
Katie Propst
Elena Tunitsky-Bitton
Megan O. Schimpf
Beri Ridgeway
Publication date
01-01-2014
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 1/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-013-2138-3

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