SACROSPINOUS COLPOPEXY - MANAGEMENT OF POSTOPERATIVE PUDENDAL NERVE ENTRAPMENT

Background: Sacrospinous 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. Thi s report analyzes a case of pudendal nerve entrapment and studies the management of the resultant neuropathy. Case: A 62-year-old patient ex perienced a chronic pudendal neuropathy with perineal and buttock pain following a sacrospinous colpopexy. Removal of the suture, 2 years af ter it was originally placed, resulted in immediate relief of her pain . She has been asymptomatic for 1 year following surgery. Conclusion: Pudendal nerve entrapment should be considered in the differential dia gnosis of perineal or buttock pain after sacrospinous colpopexy. Relie f of pain can be achieved even 2 years after initial surgery.