Inability to walk and persistent thigh pain after transobturator tape procedure for stress urinary incontinence: surgical management.
Int Urogynecol J
; 32(5): 1317-1319, 2021 05.
Article
in English
| MEDLINE | ID: covidwho-1245607
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
Groin pain after transobturator tape is often a self-limiting situation, but can occasionally persist and be associated with serious neurological sequelae. The video is aimed at presenting the surgical management of persistent groin pain and inability to walk after transobturator sling placement and subsequent partial removal.METHODS:
The featured patient is a 31-year-old woman unable to walk after transobturator sling implantation 2 years before. She reported left thigh pain immediately after surgery that was not responsive to postoperative medication. Six months later, suburethral portion excision was performed but no pain relief was obtained. She was unable to walk, and needed a wheelchair. Electromyography showed axonal injury of the left obturator nerve. After providing proper informed consent, the patient was admitted for combined transvaginal and transcutaneous transobturator tape arm removal.RESULTS:
The featured procedure was completed in 120 min and blood loss was <100 ml. No surgical complications were observed. The patient is currently doing left leg rehabilitation, has regained the ability to walk with the aid of a crutch, and the need for chronic pain control medication is greatly reduced.CONCLUSION:
This represents a valid surgical approach for the late management of this mesh-related complication.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Urinary Incontinence, Stress
/
Suburethral Slings
Type of study:
Case report
Topics:
Long Covid
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Int Urogynecol J
Journal subject:
Gynecology
/
Urology
Year:
2021
Document Type:
Article
Affiliation country:
S00192-020-04666-x
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