By Prof. Kumara Dissanayake (D. M. A. Kumara), Professor in Gynaecological Endoscopy, Rajarata University of Sri Lanka — Rajarata Gynaecological Endoscopy Center (RAGEC).
Kumara DMA, Jayasekara M, Caldera M. “Lumbosacral discitis following laparoscopic sacrohysteropexy.” Sri Lanka Journal of Obstetrics and Gynaecology, 2020; 42(3).
Overview
Laparoscopic sacrohysteropexy is a uterus-preserving, mesh-based operation used to correct uterine prolapse by suspending the uterus to the sacrum. This case report documents lumbosacral discitis — infection/inflammation of an intervertebral disc and adjacent vertebrae — as a rare complication following the procedure.
Clinical message
Discitis is an uncommon but serious complication of sacrocolpopexy/sacrohysteropexy, linked to the point of sacral mesh fixation.
Persistent back pain after prolapse surgery should prompt consideration of this diagnosis.
Early recognition and imaging are key to timely treatment.
Why it matters
Documenting rare complications strengthens the safety literature around mesh-based laparoscopic prolapse repair and helps surgeons counsel patients and recognise warning signs early.
