Osler
Forum Replies Created
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The round ligament originates at the uterine horns (the points at which the fallopian tubes enter the uterus), and attaches to the labia majora, passing through the inguinal canal. The genital branch of genitofemoral nerve also transverses along with it.
It serves a purpose and it’s not irrelevant and justifies being cut because it’s deemed the “weakest” ligament.
If your a female of a child bearing age and enjoy sexual activity do you really want to take a chance of compromising the latter to any degree?
There is also no adequate data that proves cutting the round ligament reduces reoccurrence. It is performed primarily for the convenience of the surgeon to place the mesh more flatly, which can be overcome with alternative techniques; separation from the peritoneum or cutting parallel to the ligament.
Find a surgeon who will go the extra mile for you and respect your body and wishes.
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Sounds like you had a too tight of a repair with what sounds like an attempted shouldice with further nerve and soft tissue damage. I hope you find some relief and get better even if it takes several years, don’t give up.
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Hi Rose, I would find a surgeon that will go the extra mile and not cut or mess with the round ligament. Cutting the round ligament comes with a high risk of injury to the genital branch of the genitofemoral nerve as it goes along with the round ligament. If it is injured or cut this will lead to labia numbness and atrophy; essentially sexual dysfunction. The round ligament serves an indirect reproductive function for a healthy pregnancy and sexual pleasure. Don’t let a surgeon convince you it doesn’t especially when they’ve never had it cut themselves.
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Why cut a ligament that has a purpose in your body. The round ligament helps maintain the anteversion position of the uterus during pregnancy. By that it help support the uterus by connecting the front of the uterus to the groin region. If this is cut there is going to be compensatory affect to the support of the uterus and cause indirect effect to pregnancy.
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A doctor who had a shouldice repair. They don’t take chances with mesh when it comes to their own body or their families, but no problem promoting it and inserting in others.