Obturator nerve injury: a rare complication of retropubic tension-free vaginal sling

The tension-free vaginal tape (TVT) retropubic sling is a very effective treatment for stress urinary incontinence. High cure rates are typically achieved, and the reported complication rate is relatively low. Obturator neuralgia secondary to insertion of a midurethral sling is a rare and specific t...

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Bibliographic Details
Published in:International Urogynecology Journal 2016-10, Vol.27 (10), p.1597-1599
Main Authors: Baines, Georgina, Jackson, Simon R., Price, Natalia
Format: Article
Language:English
Subjects:
Female
Gynecology
Humans
IUJ Video
Medicine
Medicine & Public Health
Middle Aged
Neuralgia - etiology
Obturator Nerve - injuries
Suburethral Slings - adverse effects
Urinary Incontinence, Stress - surgery
Urology
Vagina - surgery
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Summary:The tension-free vaginal tape (TVT) retropubic sling is a very effective treatment for stress urinary incontinence. High cure rates are typically achieved, and the reported complication rate is relatively low. Obturator neuralgia secondary to insertion of a midurethral sling is a rare and specific type of chronic pain that is more commonly associated with transobturator tape slings. The purpose of this video case report was to demonstrate that obturator nerve injury is a possible complication of TVT retropubic slings placement. A discussion of symptoms and signs of obturator nerve injury and how these should be managed is also presented.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-016-3011-y