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

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Abstract

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.

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References

  1. 1.

    Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29(1):75–82

  2. 2.

    Nilsson CG, Palva K, Aarnio R, Morcos E, Falconer C (2013) Seventeen years’ follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J 24(8):1265–9

  3. 3.

    Brubaker L, Norton PA, Albo ME, Chai TC, Dandreo KJ, Lloyd KL et al (2011) Adverse events over two years after retropubic or transobturator midurethral sling surgery: findings from the trial of midurethral slings (TOMUS) study. Am J Obstet 205(5):498.e1–498.e6

  4. 4.

    Rigaud J, Pothin P, Labat JJ, Riant T, Guerineau M, Le Normand L, Glemain P, Robert R, Bouchot O (2010) Functional results after tape removal for chronic pelvic pain following tension-free vaginal tape or transobturator tape. J Urol 184:610–615

  5. 5.

    Duckett JR, Jain S (2005) Groin pain after a tension free vaginal tape or similar suburethral sling: management strategies. BJU Int 95:95–97

  6. 6.

    Fisher HW, Lotze PM (2011) Nerve injury locations during retropubic sling procedures. Int Urogynecol J Pelvic Floor Dysfunct 22:439–441

  7. 7.

    Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence; a systematic review and meta-analysis of effectiveness and complications. BJOG 114(5):522–531

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Author information

Correspondence to Georgina Baines.

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Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

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Baines, G., Jackson, S.R. & Price, N. Obturator nerve injury: a rare complication of retropubic tension-free vaginal sling. Int Urogynecol J 27, 1597–1599 (2016). https://doi.org/10.1007/s00192-016-3011-y

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Keywords

  • Transvaginal tape
  • Complication
  • Obturator neuralgia
  • Removal