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CAUSES (ETIOLOGY) AND PRECIPITATING FACTORS:
Exact etiology of POPSS syndrome is not known. Several different causes are mentioned like infection, impaired circulation, venous congestion and nerve entrapment. In out series we feel that the majority of our patient's problem can be explaioned as tendonitis (enthesopathy).
Ninety-three (46%) patients gave history of lower abdominal surgeries, most common being hysterectomies, C-sections, bladder suspenions. Nineteen males gave history of previous groin hernia surgeries. (Graph 1)
"Think of POPSS when presented with enexplained dyspareunia, especially when present after hysterectomy and bilateral salpino-oophorectomy."
(Graph 1)
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