Based on this description, the urogynecologist ascertains that the mesh is located in the anterior vaginal wall (A09.1.04.006), with passage of anchoring arms through the bilateral sacrospinous
ligaments (A03.6.03.007) and retropubic space (A10.1.01.003).
Safe implementation of surgical procedures with regard to vascular and neural structures was also studied for transvaginal tape and sacrospinous
ligament fixation operations in urogynecology literature (15,16).
The nerve comes out of the greater sciatic foramen, and passes through the ischial spine, sacrospinous
ligament, and sacrotuberous ligament.[6,7] Pudendal neuralgia develops after mechanical damage to the pudendal nerve, viral infections, and immunological processes. The mechanical damage to the nerve can be also called as pudendal nerve entrapment.
(1) The sacrospinous
and sacrotuberous ligaments divide the sciatic notch into the greater and lesser sciatic foramina.
The surgical route is chosen based on the type and severity of prolapse, the surgeon's training and experience, the patient's preference, and the expected or desired surgical outcome. Treatments of POP may be sacrospinous
ligament suspension, uterosacral ligament suspension, or iliococcygeus fascia suspension.
Twenty-two percent (n=14) patients reported a previous hysterectomy, while 63 (85%) patients had undergone some form of previous surgery for prolapse (including anterior repair, posterior repair, sacrospinous
fixation, abdominal sacrocolpopexy, or a combination thereof).
Objective: To evaluate the clinical therapeutic effects of excision of invaded sacrospinous
ligament on pelvic cavity pain caused by endometriosis.
The final result was collagens reduced in the sacrospinous
ligament of patients with pelvic organ prolapse disease, and what was more significant for Col-III.
Ligament Suspension Stapled Fixation
These can impact on the sciatic nerve and include sacro-iliac, sacrotuberous, and sacrospinous
ligament tears and spasms of deep lateral rotator muscles (e.g.
TUESDAY, April 17, 2018 (HealthDay News) -- For women with pelvic organ prolapse, there is no significant difference in five-year outcomes with uterosacral ligament suspension (ULS) and sacrospinous
ligament fixation (SSLF) surgeries, and no difference in the success of perioperative behavioral therapy and pelvic floor muscle training (BPMT) or usual care, according to a study published in the April 17 issue of the Journal of the American Medical Association.
In this procedure, one strap of mesh is passed into the pararectal space through the sacrospinous
ligament from both sides.