Urogynecology: Case report obturator neuropathy after retropubic tension-free vaginal tape placement

Aparna Ramanathan; Stefanie Bryant; T. Ignacio Montoya; Clifford Y. Wai

doi:10.1097/AOG.0000000000000594

Urogynecology: Case report obturator neuropathy after retropubic tension-free vaginal tape placement

Aparna Ramanathan, Stefanie Bryant, T. Ignacio Montoya, Clifford Y. Wai

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

BACKGROUND: We report a case of obturator neuropathy associated with retropubic midurethral sling. CASE: After retropubic tension-free vaginal tape (TVT) placement, a 36-year-old woman reported right inguinal region and thigh pain, both exacerbated with internal rotation and adduction. Neurologic examination was remarkable for two-fifths strength with right thigh adduction and an involuntary lateral drift of her right thigh with straight leg raise. Radiologic evaluation was unrevealing. With persistence of motor symptoms and pain, partial sling removal on the right was performed. Symptoms subsided postoperatively, and the patient ultimately recovered with no residual neurologic sequelae. CONCLUSION: Recognition of an atypical complication, obturator neuropathy, of retropubic TVT placement with prompt partial right sling removal on postoperative day 2 resulted in complete recovery of neurologic sequelae.

Original language	English (US)
Pages (from-to)	62-64
Number of pages	3
Journal	Obstetrics and gynecology
Volume	125
Issue number	1
DOIs	https://doi.org/10.1097/AOG.0000000000000594
State	Published - Jan 1 2015

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1097/AOG.0000000000000594

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title = "Urogynecology: Case report obturator neuropathy after retropubic tension-free vaginal tape placement",

abstract = "BACKGROUND: We report a case of obturator neuropathy associated with retropubic midurethral sling. CASE: After retropubic tension-free vaginal tape (TVT) placement, a 36-year-old woman reported right inguinal region and thigh pain, both exacerbated with internal rotation and adduction. Neurologic examination was remarkable for two-fifths strength with right thigh adduction and an involuntary lateral drift of her right thigh with straight leg raise. Radiologic evaluation was unrevealing. With persistence of motor symptoms and pain, partial sling removal on the right was performed. Symptoms subsided postoperatively, and the patient ultimately recovered with no residual neurologic sequelae. CONCLUSION: Recognition of an atypical complication, obturator neuropathy, of retropubic TVT placement with prompt partial right sling removal on postoperative day 2 resulted in complete recovery of neurologic sequelae.",

author = "Aparna Ramanathan and Stefanie Bryant and Montoya, {T. Ignacio} and Wai, {Clifford Y.}",

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AU - Bryant, Stefanie

AU - Montoya, T. Ignacio

AU - Wai, Clifford Y.

PY - 2015/1/1

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N2 - BACKGROUND: We report a case of obturator neuropathy associated with retropubic midurethral sling. CASE: After retropubic tension-free vaginal tape (TVT) placement, a 36-year-old woman reported right inguinal region and thigh pain, both exacerbated with internal rotation and adduction. Neurologic examination was remarkable for two-fifths strength with right thigh adduction and an involuntary lateral drift of her right thigh with straight leg raise. Radiologic evaluation was unrevealing. With persistence of motor symptoms and pain, partial sling removal on the right was performed. Symptoms subsided postoperatively, and the patient ultimately recovered with no residual neurologic sequelae. CONCLUSION: Recognition of an atypical complication, obturator neuropathy, of retropubic TVT placement with prompt partial right sling removal on postoperative day 2 resulted in complete recovery of neurologic sequelae.

AB - BACKGROUND: We report a case of obturator neuropathy associated with retropubic midurethral sling. CASE: After retropubic tension-free vaginal tape (TVT) placement, a 36-year-old woman reported right inguinal region and thigh pain, both exacerbated with internal rotation and adduction. Neurologic examination was remarkable for two-fifths strength with right thigh adduction and an involuntary lateral drift of her right thigh with straight leg raise. Radiologic evaluation was unrevealing. With persistence of motor symptoms and pain, partial sling removal on the right was performed. Symptoms subsided postoperatively, and the patient ultimately recovered with no residual neurologic sequelae. CONCLUSION: Recognition of an atypical complication, obturator neuropathy, of retropubic TVT placement with prompt partial right sling removal on postoperative day 2 resulted in complete recovery of neurologic sequelae.

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Urogynecology: Case report obturator neuropathy after retropubic tension-free vaginal tape placement

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