Health Organization for Pudendal Education

Has anyone who has had the sacrospinous and/or the sacrotuberous ligament severed wholly or partially experienced ligament pain or joint instability after recovering from the surgery?

Is anyone aware of data gathered concerning complications attributable to the severing or notching of one or more ligaments during surgery?

And has anyone successfully had a repair of one or both ligaments to ameliorate such symptoms or complications?

Hi,
If you have your Sacrotuberos ligament severed,you are bound to have Pelvic instability like SIJD,Piriformous muscle syndrome etc.The Nantes and Houston team are in denial of this because they do sever both the Sacrotuberous/Sacrpspinous ligaments.Although, we have heard enough testimonies of Pelvis instabilities by patients from both these teams.
Dr. Hibner has tried to address the repair of the Sacrotuberous ligament in his redo surgeries but isn't always successful.

best Regards,
Ali

Ali, I don't understand your statement regarding Dr. HIbner repair of the ST ligament. Is this on redo's from the Houston team or Conway patients, or that matter anyone elses patients? When you say not always successful, he isn't able to place the cadaver tendon? Or, he replaces the tendon but the SIJ still continues? Is this something Dr. Hibner told you?

Hi Nyt,
It is regarding patients who had their Sacrotuberous ligaments severed completely either by the Houston team or Professor Robert in Nantes,France.TIR approach by Dr. Bautrant or Dr. Conway doesn't touch the Sacrotuberous ligament,they only window or sever the Sacrospinous ligament if needed.
As far the source is concerned,it has come from one of the redo patients of Dr. Hibner and had surgery with the Houston team and had the ligaments completely severed.Dr. Hibner wasn't able to restruct the Sacrotuberous ligament in this case.

Best Regards,
Ali

Thank you Ali,

Can you remind us what the acronym SIJD stands for? Joint disorder I presume.

The limited information that I have so far agrees with the information you provided. Complications associated with the severing or notching of the ligaments appears to be understated, under-reported and not yet well understood.

Fortunately, ligament-related problems do not affect all patients but I am also aware of at least one case in which comprising the integrity of the two ligaments is believed to have resulted in additional trauma to the pudendal bundle, possibly in the form of traction, and tendonitis. Although the repair attempt you mentioned was unsuccessful, I would be interested in knowing the surgeon’s findings concerning the nature and extent of the complications attributable to the ligament damage, if you happen to know.

The widely held view is that severed or torn ligaments do not lend themselves to easy surgical repair long after the original injury because the ends typically become too frayed to withstand normal stress after they are rejoined. However, there is at least one recently-developed device that may facilitate the re-joining of the severed ends and improve the overall success rate. I think a patent may be pending for this device but I do not know if it is on the market yet.

Is anyone else aware of symptoms or complications caused by lycing/severing or partial-severing of ligaments?

AV,

I haven't had any problems myself since I had the TIR approach and the ST ligament was not severed. I already had pelvic instability before surgery so I can't really say that severing the SS ligament has made any difference.

I have been reading the PN forums for over 6 years and have read reports from numerous patients who have had a new problem of SI joint dysfunction or pain post-operatively after having the ST ligament severed.

1- Yes me.

2- no (too bad),

3- No and i would realy want to know how a doctor could know which tension to give to a new reattached sacroilliac... (believing that with time, cutted ligaments shorten and decay.)