Alevizon S J, Finan M A
Department of Obstetrics and Gynecology, Ochsner Clinic, New Orleans, Louisiana, USA.
Obstet Gynecol. 1996 Oct;88(4 Pt 2):713-5. doi: 10.1016/0029-7844(96)00127-5.
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. This report analyzes a case of pudendal nerve entrapment and studies the management of the resultant neuropathy.
A 62-year-old patient experienced a chronic pudendal neuropathy with perineal and buttock pain following a sacrospinous colpopexy. Removal of the suture, 2 years after it was originally placed, resulted in immediate relief of her pain. She has been asymptomatic for 1 year following surgery.
Pudendal nerve entrapment should be considered in the differential diagnosis of perineal or buttock pain after sacrospinous colpopexy. Relief of pain can be achieved even 2 years after initial surgery.
骶棘韧带阴道固定术需要通过骶棘韧带放置缝线，而阴部神经位于该韧带下方。该神经受压可能导致会阴或臀部疼痛。本报告分析了一例阴部神经受压病例，并研究了由此导致的神经病变的处理方法。
一名62岁患者在骶棘韧带阴道固定术后出现慢性阴部神经病变，伴有会阴和臀部疼痛。在最初放置缝线2年后将其取出，患者疼痛立即缓解。术后1年她一直无症状。
在骶棘韧带阴道固定术后会阴或臀部疼痛的鉴别诊断中应考虑阴部神经受压。即使在初次手术后2年，疼痛也可缓解。
