Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/58608 https://doi.org/10.1007/s00192-015-2777-7 |
Resumo: | Pelvic congestion syndrome is a well-known cause of cyclic pelvic pain (Ganeshan et al., Cardiovasc Intervent Radiol 30(6):1105-11, 2007). What is much less well known is that dilated or malformed branches of the internal or external iliac vessels can entrap the nerves of the sacral plexus against the pelvic sidewalls, producing symptoms that are not commonly seen in gynecological practice, such as sciatica, or refractory urinary and anorectal dysfunction (Possover et al., Fertil Steril 95(2):756-8. 2011). The objective of this video is to explain and describe the symptoms suggestive of vascular entrapment of the sacral plexus, as well as the technique for the laparoscopic decompression of these nerves. Two anecdotal cases of intrapelvic vascular entrapment are used to review the anatomy of the lumbosacral plexus and demonstrate the laparoscopic surgical technique for decompression at two different sites, one on the sciatic nerve and one on the sacral nerve roots. After surgery, the patient with the sciatic entrapment showed full recovery of the sciatica and partial recovery of the myofascial pain. The patient with sacral nerve root entrapment showed full recovery with resolution of symptoms. The symptoms suggestive of intrapelvic nerve entrapment are: perineal pain or pain irradiating to the lower limbs in the absence of a spinal disorder, and lower urinary tract symptoms in the absence of prolapse of a bladder lesion. In the presence of such symptoms, the radiologist should provide specific MRI sequences of the intrapelvic portion of the sacral plexus and a team and equipment to expose and decompress the sacral nerves should be prepared. |
id |
UFSP_55a73fabeb2b69dddf78af80f3ce36eb |
---|---|
oai_identifier_str |
oai:repositorio.unifesp.br:11600/58608 |
network_acronym_str |
UFSP |
network_name_str |
Repositório Institucional da UNIFESP |
repository_id_str |
3465 |
spelling |
Lemos, Nucelio [UNIFESP]Marques, Renato Moretti [UNIFESP]Kamergorodsky, Gil [UNIFESP]Ploger, Christine [UNIFESP]Schor, Eduardo [UNIFESP]Girao, Manoel J. B. C. [UNIFESP]2020-11-03T14:40:32Z2020-11-03T14:40:32Z2016International Urogynecology Journal. London, v. 27, n. 2, p. 317-319, 2016.0937-3462https://repositorio.unifesp.br/handle/11600/58608https://doi.org/10.1007/s00192-015-2777-710.1007/s00192-015-2777-7WOS:000370044300020Pelvic congestion syndrome is a well-known cause of cyclic pelvic pain (Ganeshan et al., Cardiovasc Intervent Radiol 30(6):1105-11, 2007). What is much less well known is that dilated or malformed branches of the internal or external iliac vessels can entrap the nerves of the sacral plexus against the pelvic sidewalls, producing symptoms that are not commonly seen in gynecological practice, such as sciatica, or refractory urinary and anorectal dysfunction (Possover et al., Fertil Steril 95(2):756-8. 2011). The objective of this video is to explain and describe the symptoms suggestive of vascular entrapment of the sacral plexus, as well as the technique for the laparoscopic decompression of these nerves. Two anecdotal cases of intrapelvic vascular entrapment are used to review the anatomy of the lumbosacral plexus and demonstrate the laparoscopic surgical technique for decompression at two different sites, one on the sciatic nerve and one on the sacral nerve roots. After surgery, the patient with the sciatic entrapment showed full recovery of the sciatica and partial recovery of the myofascial pain. The patient with sacral nerve root entrapment showed full recovery with resolution of symptoms. The symptoms suggestive of intrapelvic nerve entrapment are: perineal pain or pain irradiating to the lower limbs in the absence of a spinal disorder, and lower urinary tract symptoms in the absence of prolapse of a bladder lesion. In the presence of such symptoms, the radiologist should provide specific MRI sequences of the intrapelvic portion of the sacral plexus and a team and equipment to expose and decompress the sacral nerves should be prepared.Medtronic Inc.Laborie Inc.Abbott Inc.Libbs Inc.AstraZeneca Inc.Univ Fed Sao Paulo, Dept Obstet & Gynecol, Pelv Neurodysfunct Clin, Rua Jose de Magalhaes 373 Ap904, BR-04026090 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Dept Obstet & Gynecol, Pelv Neurodysfunct Clin, Rua Jose de Magalhaes 373 Ap904, BR-04026090 Sao Paulo, SP, BrazilWeb of Science317-319engSpringer London LtdInternational Urogynecology JournalSciaticaPelvic congestion syndromeUrinary incontinenceLaparoscopyNerve entrapment syndromeVulvodyniaVascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptomsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLondon272info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/586082022-02-08 12:46:02.845metadata only accessoai:repositorio.unifesp.br:11600/58608Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:11:18.220703Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
title |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
spellingShingle |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms Lemos, Nucelio [UNIFESP] Sciatica Pelvic congestion syndrome Urinary incontinence Laparoscopy Nerve entrapment syndrome Vulvodynia |
title_short |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
title_full |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
title_fullStr |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
title_full_unstemmed |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
title_sort |
Vascular entrapment of the sciatic plexus causing catamenial sciatica and urinary symptoms |
author |
Lemos, Nucelio [UNIFESP] |
author_facet |
Lemos, Nucelio [UNIFESP] Marques, Renato Moretti [UNIFESP] Kamergorodsky, Gil [UNIFESP] Ploger, Christine [UNIFESP] Schor, Eduardo [UNIFESP] Girao, Manoel J. B. C. [UNIFESP] |
author_role |
author |
author2 |
Marques, Renato Moretti [UNIFESP] Kamergorodsky, Gil [UNIFESP] Ploger, Christine [UNIFESP] Schor, Eduardo [UNIFESP] Girao, Manoel J. B. C. [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lemos, Nucelio [UNIFESP] Marques, Renato Moretti [UNIFESP] Kamergorodsky, Gil [UNIFESP] Ploger, Christine [UNIFESP] Schor, Eduardo [UNIFESP] Girao, Manoel J. B. C. [UNIFESP] |
dc.subject.eng.fl_str_mv |
Sciatica Pelvic congestion syndrome Urinary incontinence Laparoscopy Nerve entrapment syndrome Vulvodynia |
topic |
Sciatica Pelvic congestion syndrome Urinary incontinence Laparoscopy Nerve entrapment syndrome Vulvodynia |
description |
Pelvic congestion syndrome is a well-known cause of cyclic pelvic pain (Ganeshan et al., Cardiovasc Intervent Radiol 30(6):1105-11, 2007). What is much less well known is that dilated or malformed branches of the internal or external iliac vessels can entrap the nerves of the sacral plexus against the pelvic sidewalls, producing symptoms that are not commonly seen in gynecological practice, such as sciatica, or refractory urinary and anorectal dysfunction (Possover et al., Fertil Steril 95(2):756-8. 2011). The objective of this video is to explain and describe the symptoms suggestive of vascular entrapment of the sacral plexus, as well as the technique for the laparoscopic decompression of these nerves. Two anecdotal cases of intrapelvic vascular entrapment are used to review the anatomy of the lumbosacral plexus and demonstrate the laparoscopic surgical technique for decompression at two different sites, one on the sciatic nerve and one on the sacral nerve roots. After surgery, the patient with the sciatic entrapment showed full recovery of the sciatica and partial recovery of the myofascial pain. The patient with sacral nerve root entrapment showed full recovery with resolution of symptoms. The symptoms suggestive of intrapelvic nerve entrapment are: perineal pain or pain irradiating to the lower limbs in the absence of a spinal disorder, and lower urinary tract symptoms in the absence of prolapse of a bladder lesion. In the presence of such symptoms, the radiologist should provide specific MRI sequences of the intrapelvic portion of the sacral plexus and a team and equipment to expose and decompress the sacral nerves should be prepared. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2020-11-03T14:40:32Z |
dc.date.available.fl_str_mv |
2020-11-03T14:40:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
International Urogynecology Journal. London, v. 27, n. 2, p. 317-319, 2016. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/58608 https://doi.org/10.1007/s00192-015-2777-7 |
dc.identifier.issn.none.fl_str_mv |
0937-3462 |
dc.identifier.doi.none.fl_str_mv |
10.1007/s00192-015-2777-7 |
dc.identifier.wos.none.fl_str_mv |
WOS:000370044300020 |
identifier_str_mv |
International Urogynecology Journal. London, v. 27, n. 2, p. 317-319, 2016. 0937-3462 10.1007/s00192-015-2777-7 WOS:000370044300020 |
url |
https://repositorio.unifesp.br/handle/11600/58608 https://doi.org/10.1007/s00192-015-2777-7 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
International Urogynecology Journal |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
317-319 |
dc.coverage.none.fl_str_mv |
London |
dc.publisher.none.fl_str_mv |
Springer London Ltd |
publisher.none.fl_str_mv |
Springer London Ltd |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
_version_ |
1783460260309106688 |