WOMENS-HEALTH Messages for April, 2000: Re: Nerve Entrapment

Re: Nerve Entrapment

From: john miklos MD (anonymous@obgyn.net)
Thu, 27 Apr 2000 10:16:23 -0500 (CDT)

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At Wed, 26 Apr 2000, Cheryl wrote: >
>Dr. Miklos:
>In your response to the post on nerve entrapment, you mentioned that the
>suture may need to be removed. I had a complete hyst with enterecele,
>rectecele and cystecele repair in Feb'99 During surgery I hemorraged and
>almost died. After waking up in ICU, I memtioned that I had tingling in
>my foot. Once I was able to be up and walk, I had alot of hip and leg
>pain. After several months of no relief, I was sent by the intervention
>radiologist for an MRI, but it returned negative. My neurologist (very
>light stroke in July'99)detected slight nerve damage after testing,
>guessing it was from a hematoma that I may have suffered during the
>surgery. I was also told by my gyn that he used a "permanent suture". I
>am continuing to have buttock/hip pain and have trouble sitting for any
>extended length of time. What are your thoughts? Is it possible that
>the premanent suture could be the problem and can it be removed at this
>point in time? I have an appointment with my gyn soon. Thank you for
>your response. This has been a super forum and I have learned alot from
>the questions and comments. I am willing do go or do anything at this
>point to get some relief.

Cheryl,

I may be wrong here but it sounds like you doc may have performed a sacrospinous ligament suspension (SSL). If that is the case there are two ways to treat the pain, one is to remove the suture and the other is to inject the area with the likes of lidocaine.

One of the problems with all surgeries is that each surgeon may perform an operation a little differently, that does not mean that one way is correct and the other is not. It just means that ones technique is different and this makes it hard to infer exactly what was done at the time of the operation. You stated you had a cystocele, rectocele, and enterocele repair. These are the problems that you had the surgery to repair each of these problems were done in a specific way......cystocele repair ---was this a paravaginal repair, anterior repair? enterocele repairs are usually coupled with a vaginal vault suspension procedure---SSL, McCall culdeplasty, iliococcygeal suspension.....etc...

Your best bet is to obtain your op report or ask your doc what technique he chose especially for the enterocele repair. That little bit of information would be helpful.

Hope this helps

--
john r miklos M.D.
Urogynecology & Reconstructive Pelvic Surgery
Advanced Laparscopic Surgery
Atlanta Georgia

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