Abstract
A different perspective of chronic lower abdominal pelvic pain, collision dyspareunia, and vulvodynia related to laxity in the uterosacral ligaments is presented. The syndrome presented is quite characteristic: low abdominal 'dragging' pain, usually unilateral, often right-sided, low sacral pain, deep dyspareunia, and postcoital ache, tiredness, and irritability. The pain has been demonstrated to be a referred pain. Injection of local anesthesia in the posterior vaginal fornix causes the pain to disappear temporarily. An initial cure rate of up to 80% has been reported following tensioning and reinforcement of the uterosacral ligaments, most recently with the tissue fixation system (TFS).
Original language | English |
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Title of host publication | Pelvic Floor Disorders |
Subtitle of host publication | Imaging and Multidisciplinary Approach to Management |
Publisher | Springer Milan |
Pages | 609-613 |
Number of pages | 5 |
ISBN (Print) | 9788847015418 |
DOIs | |
Publication status | Published - 2010 |