Skip to main content
Top
Published in: International Urogynecology Journal 10/2016

01-10-2016 | IUJ Video

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

Authors: Georgina Baines, Simon R. Jackson, Natalia Price

Published in: International Urogynecology Journal | Issue 10/2016

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29(1):75–82CrossRefPubMed Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29(1):75–82CrossRefPubMed
2.
go back to reference 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):1265–9CrossRefPubMed 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):1265–9CrossRefPubMed
3.
go back to reference 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.e6CrossRef 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.e6CrossRef
4.
go back to reference 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 184:610–615CrossRefPubMed 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 184:610–615CrossRefPubMed
5.
go back to reference Duckett JR, Jain S (2005) Groin pain after a tension free vaginal tape or similar suburethral sling: management strategies. BJU Int 95:95–97CrossRefPubMed Duckett JR, Jain S (2005) Groin pain after a tension free vaginal tape or similar suburethral sling: management strategies. BJU Int 95:95–97CrossRefPubMed
6.
go back to reference Fisher HW, Lotze PM (2011) Nerve injury locations during retropubic sling procedures. Int Urogynecol J Pelvic Floor Dysfunct 22:439–441CrossRef Fisher HW, Lotze PM (2011) Nerve injury locations during retropubic sling procedures. Int Urogynecol J Pelvic Floor Dysfunct 22:439–441CrossRef
7.
go back to reference 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):522–531CrossRefPubMed 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):522–531CrossRefPubMed
Metadata
Title
Obturator nerve injury: a rare complication of retropubic tension-free vaginal sling
Authors
Georgina Baines
Simon R. Jackson
Natalia Price
Publication date
01-10-2016
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 10/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3011-y

Other articles of this Issue 10/2016

International Urogynecology Journal 10/2016 Go to the issue