Risks, symptoms, and management of pelvic nerve damage secondary to surgery for pelvic organ prolapse: a report of 95 cases

Introduction and hypothesis 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. Methods Ninety-five consecutive patients complaining of pain and/or bladder or bowel dysfunction following surgery for pelvic prolapse underwent laparoscopic exploration for pelvic neuropathy. Results 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