Pudendal neuropathy involving the perforating cutaneous nerve after cystocele repair with graft

Justin C. Bohrer, Chi Chiung Grace Chen, Mark D. Walters

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Pudendal neuropathy is a documented complication of sacrospinous ligament fixation, but it is infrequently reported with other types of gynecologic surgery. CASE: A woman developed neuropathic symptoms of the right vulva, perianal area, and gluteal fold after vaginal surgery with graft for anterior pelvic organ prolapse. Pudendal nerve entrapment with involvement of the perforating cutaneous nerve was suspected. Suture removal 1 year after the operation resulted in improved pain symptoms and sexual function. CONCLUSION: Pudendal nerve entrapment is one potential complication of anterior vaginal repair with biologic graft. Removal of sutures, even long after surgery, can result in clinically significant improvement in pain symptoms and sexual function in patients with pudendal nerve entrapment.

Original languageEnglish (US)
Pages (from-to)496-498
Number of pages3
JournalObstetrics and gynecology
Volume112
Issue number2 PART 2
DOIs
StatePublished - Aug 1 2008
Externally publishedYes

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ASJC Scopus subject areas

  • Obstetrics and Gynecology

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