Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve

Sohail A. Siddique, Robert E. Gutman, Miguel Antonio Schoen, Francisco Rojas, Victoria L Handa

Research output: Contribution to journalArticle

Abstract

We describe the anatomy of the uterosacral ligament with respect to the sacral plexus. In six adult female embalmed cadavers, we identified the uterosacral ligament and its lateral nerve relations. Using the ischial spine as the starting point and measuring along the axis of the uterosacral ligament, we noted that the S1 trunk of the sacral plexus passes under the ligament 3.9 cm [95% confidence interval (CI), 2.1-5.8 cm] superior to the ischial spine. The S2 trunk passes under the ligament at 2.6 cm (95% CI; 1.5, 3.6 cm), the S3 trunk passes under the ligament at 1.5 cm (95% CI; 0.7, 2.4 cm), and the S4 trunk passes under the ligament at 0.9 cm (95% CI; 0.3, 1.5 cm) superior to the ischial spine. The pudendal nerve forms lateral to the uterosacral ligament. Our data demonstrate that the S1-S4 trunks of the sacral plexus, not the pudendal nerve, are vulnerable to injury during uterosacral ligament suspension.

Original languageEnglish (US)
Pages (from-to)642-645
Number of pages4
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume17
Issue number6
DOIs
StatePublished - Nov 2006

Fingerprint

Lumbosacral Plexus
Pudendal Nerve
Ligaments
Confidence Intervals
Spine
Collateral Ligaments
Cadaver
Anatomy
Suspensions

Keywords

  • Peripheral neuropathy
  • Pudendal nerve
  • Sacral plexus trunks
  • Uterosacral ligament
  • Uterosacral ligament suspension

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve. / Siddique, Sohail A.; Gutman, Robert E.; Schoen, Miguel Antonio; Rojas, Francisco; Handa, Victoria L.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 17, No. 6, 11.2006, p. 642-645.

Research output: Contribution to journalArticle

@article{5c933400487c4c3590299fceef4e80b1,
title = "Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve",
abstract = "We describe the anatomy of the uterosacral ligament with respect to the sacral plexus. In six adult female embalmed cadavers, we identified the uterosacral ligament and its lateral nerve relations. Using the ischial spine as the starting point and measuring along the axis of the uterosacral ligament, we noted that the S1 trunk of the sacral plexus passes under the ligament 3.9 cm [95{\%} confidence interval (CI), 2.1-5.8 cm] superior to the ischial spine. The S2 trunk passes under the ligament at 2.6 cm (95{\%} CI; 1.5, 3.6 cm), the S3 trunk passes under the ligament at 1.5 cm (95{\%} CI; 0.7, 2.4 cm), and the S4 trunk passes under the ligament at 0.9 cm (95{\%} CI; 0.3, 1.5 cm) superior to the ischial spine. The pudendal nerve forms lateral to the uterosacral ligament. Our data demonstrate that the S1-S4 trunks of the sacral plexus, not the pudendal nerve, are vulnerable to injury during uterosacral ligament suspension.",
keywords = "Peripheral neuropathy, Pudendal nerve, Sacral plexus trunks, Uterosacral ligament, Uterosacral ligament suspension",
author = "Siddique, {Sohail A.} and Gutman, {Robert E.} and Schoen, {Miguel Antonio} and Francisco Rojas and Handa, {Victoria L}",
year = "2006",
month = "11",
doi = "10.1007/s00192-006-0088-8",
language = "English (US)",
volume = "17",
pages = "642--645",
journal = "International Urogynecology Journal and Pelvic Floor Dysfunction",
issn = "0937-3462",
publisher = "Springer London",
number = "6",

}

TY - JOUR

T1 - Relationship of the uterosacral ligament to the sacral plexus and to the pudendal nerve

AU - Siddique, Sohail A.

AU - Gutman, Robert E.

AU - Schoen, Miguel Antonio

AU - Rojas, Francisco

AU - Handa, Victoria L

PY - 2006/11

Y1 - 2006/11

N2 - We describe the anatomy of the uterosacral ligament with respect to the sacral plexus. In six adult female embalmed cadavers, we identified the uterosacral ligament and its lateral nerve relations. Using the ischial spine as the starting point and measuring along the axis of the uterosacral ligament, we noted that the S1 trunk of the sacral plexus passes under the ligament 3.9 cm [95% confidence interval (CI), 2.1-5.8 cm] superior to the ischial spine. The S2 trunk passes under the ligament at 2.6 cm (95% CI; 1.5, 3.6 cm), the S3 trunk passes under the ligament at 1.5 cm (95% CI; 0.7, 2.4 cm), and the S4 trunk passes under the ligament at 0.9 cm (95% CI; 0.3, 1.5 cm) superior to the ischial spine. The pudendal nerve forms lateral to the uterosacral ligament. Our data demonstrate that the S1-S4 trunks of the sacral plexus, not the pudendal nerve, are vulnerable to injury during uterosacral ligament suspension.

AB - We describe the anatomy of the uterosacral ligament with respect to the sacral plexus. In six adult female embalmed cadavers, we identified the uterosacral ligament and its lateral nerve relations. Using the ischial spine as the starting point and measuring along the axis of the uterosacral ligament, we noted that the S1 trunk of the sacral plexus passes under the ligament 3.9 cm [95% confidence interval (CI), 2.1-5.8 cm] superior to the ischial spine. The S2 trunk passes under the ligament at 2.6 cm (95% CI; 1.5, 3.6 cm), the S3 trunk passes under the ligament at 1.5 cm (95% CI; 0.7, 2.4 cm), and the S4 trunk passes under the ligament at 0.9 cm (95% CI; 0.3, 1.5 cm) superior to the ischial spine. The pudendal nerve forms lateral to the uterosacral ligament. Our data demonstrate that the S1-S4 trunks of the sacral plexus, not the pudendal nerve, are vulnerable to injury during uterosacral ligament suspension.

KW - Peripheral neuropathy

KW - Pudendal nerve

KW - Sacral plexus trunks

KW - Uterosacral ligament

KW - Uterosacral ligament suspension

UR - http://www.scopus.com/inward/record.url?scp=33750087844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33750087844&partnerID=8YFLogxK

U2 - 10.1007/s00192-006-0088-8

DO - 10.1007/s00192-006-0088-8

M3 - Article

C2 - 16733625

AN - SCOPUS:33750087844

VL - 17

SP - 642

EP - 645

JO - International Urogynecology Journal and Pelvic Floor Dysfunction

JF - International Urogynecology Journal and Pelvic Floor Dysfunction

SN - 0937-3462

IS - 6

ER -