dc.contributor | Hirslanden Clin | |
dc.contributor | Universidade Federal de São Paulo (UNIFESP) | |
dc.creator | Possover, Marc | |
dc.creator | Lemos, Nucelio [UNIFESP] | |
dc.date.accessioned | 2016-01-24T14:17:30Z | |
dc.date.accessioned | 2022-10-07T21:17:17Z | |
dc.date.available | 2016-01-24T14:17:30Z | |
dc.date.available | 2022-10-07T21:17:17Z | |
dc.date.created | 2016-01-24T14:17:30Z | |
dc.date.issued | 2011-12-01 | |
dc.identifier | International Urogynecology Journal. London: Springer London Ltd, v. 22, n. 12, p. 1485-1490, 2011. | |
dc.identifier | 0937-3462 | |
dc.identifier | http://repositorio.unifesp.br/handle/11600/34273 | |
dc.identifier | 10.1007/s00192-011-1539-4 | |
dc.identifier | WOS:000296647000004 | |
dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/4028177 | |
dc.description.abstract | This study aims to report pelvic nerve damage secondary to surgical treatment of pelvic organ prolapse and the role of laparoscopy in the diagnosis and treatment of such nerve damage.Ninety-five consecutive patients complaining of pain and/or bladder or bowel dysfunction following surgery for pelvic prolapse underwent laparoscopic exploration for pelvic neuropathy.A mean reduction in visual analog score (VAS) from 8.9 (+/- 0.96; 6-10) preoperatively to 2.9 (+/- 2.77; 0-6) at 1-year follow-up was obtained in patients after laparoscopic nerve decompression (n = 90; p < 0.001). Success, defined as a reduction in VAS score of greater than 50%, was obtained in 84% of patients. Sixty-five patients (68%) discontinued the regular use of analgesics.Because secondary nerve damage can appear months or years after the primary procedure, long-term follow-up is mandatory and should focus on nerve damage as well as anatomical and functional outcomes. Laparoscopy is a unique method for etiologic diagnosis and neurosurgical treatment of such nerve lesions through decompression or implantation of an electrode for neuromodulation. | |
dc.language | eng | |
dc.publisher | Springer | |
dc.relation | International Urogynecology Journal | |
dc.rights | http://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0 | |
dc.rights | Acesso restrito | |
dc.subject | Chronic pelvic pain | |
dc.subject | Pelvic nerve injury | |
dc.subject | Prolapse surgery | |
dc.subject | Pudendal pain | |
dc.subject | Sacral radiculopathy | |
dc.title | Risks, symptoms, and management of pelvic nerve damage secondary to surgery for pelvic organ prolapse: a report of 95 cases | |
dc.type | Artigo | |