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).
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Petros, P.P. (2010). Chronic Pelvic Pain: A Different Perspective. In: Santoro, G.A., Wieczorek, A.P., Bartram, C.I. (eds) Pelvic Floor Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-1542-5_81
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DOI: https://doi.org/10.1007/978-88-470-1542-5_81
Publisher Name: Springer, Milano
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