Pudendal neuralgia following transobturator inside-out tape procedure (TVT-O)--case report and anatomical study
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články, práce podpořená grantem
- MeSH
- anestetika terapeutické užití MeSH
- gynekologické chirurgické výkony škodlivé účinky metody MeSH
- hormony kůry nadledvin terapeutické užití MeSH
- lidé středního věku MeSH
- lidé MeSH
- mrtvola MeSH
- pooperační období MeSH
- pudendální nerv zranění MeSH
- pudendální neuralgie diagnóza farmakoterapie etiologie MeSH
- stresová inkontinence moči chirurgie MeSH
- suburetrální pásky * MeSH
- výsledek terapie MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Názvy látek
- anestetika MeSH
- hormony kůry nadledvin MeSH
Persistent pain after TVT-O procedure is a rare complication. Nerve injuries have been suspected as a cause of persistent pain. We present one case of atypical postoperative pain--pudendal neuralgia following TVT-O procedure--which persisted 3 years after the primary procedure. The patient required surgical removal of the tape, which brought only partial relief. Complete relief from pain was afterwards achieved with repeated local applications of anesthetics with corticosteroids. The recurrent stress urinary incontinence was treated with retropubic TVT. Pudendal nerve irritation was also described after retropubic sling procedure, and the cadaveric dissection indicated the theoretic possibility of nerve injury during retropubic sling procedure. To explain the mechanism of nerve injury, we performed cadaveric dissections on a formalin-embalmed female body. We were able to demonstrate the contact of the needle with the pudendal nerve after aberrant passage of the inserter.
Zobrazit více v PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Mar;20(3):363-5 PubMed
Arch Gynecol Obstet. 2008 Feb;277(2):161-4 PubMed
Int Urogynecol J. 2011 Apr;22(4):439-41 PubMed
BJOG. 2007 Dec;114(12):1577-9 PubMed
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1257-61 PubMed
Int Urogynecol J. 2010 Jan;21(1):5-26 PubMed
Eur J Obstet Gynecol Reprod Biol. 2007 Aug;133(2):232-8 PubMed
Laparoscopic removal of intravesically inserted transobturator tape
What is the optimal length for single-incision tape?
