Vaginal infiltration for relief of neuropathic pain after sacrospinous hysteropexy: First successful mid-term report

Reporte de caso

Published on 15 de enero de 2025 | http://doi.org/10.5867/medwave.2025.01.2958

Vaginal infiltration for relief of neuropathic pain after sacrospinous hysteropexy: First successful mid-term report

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Patient demographics.

Age	62 years
Parity	4
Mode of delivery	3 vaginal deliveries, one cesarean delivery
Higher birth weight	3300 grams
Menopause	56 years old
Use of hormone replacement therapy	No
POP-Q before surgery	Aa +2 Ba +2 C -3GH4 PB 3 TVL 8Ap 0 Bp 0 D -5
Presence of genital prolapse	Anterior prolapse stage IIStage II posterior prolapse
Cystometry	Bladder with standard capacity and accommodation. No evidence of stress urinary incontinence. Suspected delayed sensory phase
Transvaginal ultrasound	Normal

Aa, 3 centimeters to the external urethral meatus. Ap, 3 centimeters proximal to the posterior hymen. Ba, most prolapsed portion of the anterior vaginal wall. Bp, the most prolapsed portion of the posterior vaginal wall. C, leading edge of cervix or vagina. D, posterior fornix in a woman who has a cervix.POP-Q, Pelvic Organ Prolapse Quantification. gh, center of urethral meatus to the midline of the posterior hymen. pb, center of the posterior hymen to center of the anal opening. tvl, maximum depth of the vagina with reduced prolapse.

Source: Prepared by authors.