Lumbosacral Discitis Following Laparoscopic Sacrohysteropexy: A Case Report

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.

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