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What in your opinion are the main causes for...
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12/19/2014 at 3:25:28 AM GMT
Posts: 36
What in your opinion are the main causes for...

What in your opinion are the main causes for postoperatve pain after sacrocolpopexy and how would you recommend to treat this?
by jmvdploeg

12/23/2014 at 7:39:52 PM GMT
Posts: 0
THE PAIN AFTER LSC can be due to:
- the meshes are too tie , you have to realize an MRI to see the position of the vagina then if the vagina is "tie as an arch" you have to cut the meshes
- there is a vaginal erosion or a shrinkage of the mesh you have to identifie the point, you can inject steroid +/- lidocaine, if it works ok if it doesn't work you have to take off the eroded mesh
- The fixation on the levator ani is painful, you have to dissect the recto-vaginal space then cut the mesh on the point of fixation


1/8/2015 at 1:54:49 PM GMT
Posts: 7
I agree with Bruno. In addition, be on the lookout for the rare, but debilitating condition of Discitis. These women present with back pain and occasional neurological symptoms. An MRI and assessment by spinal surgeon are essential.

1/9/2015 at 6:49:14 PM GMT
Posts: 9
I agree with Stephen and Bruno on this question. if it is early in their healing process, ie 3-6 months, I would recommend pelvic floor physical therapy as well and many times the discomfort will resolve with time and therapy. I have found the use of a lightweight mesh (ie < 25 g/m2) has reduced pain and dyspareunia significantly

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