De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence

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Abstract

Background and Objectives: Five cases of pelvic nerve complications after transobturator tape (TOT) inside-out surgical procedures for stress urinary incontinence are presented. Methods: We conducted a chart review of patients with complications referred to our practice. Results: Five patients with nerve complications after TOT inside-out procedures were investigated. Pudendal neuropathy and interstitial cystitis were seen in this series of patients with several patients having myofascial pain in the lower abdominal area. Conclusions: Although not commonly reported, complications from needle placement and from the area of needle exit in a TOT procedure can exist, and the surgeon must be careful when placing the needle through the area of the obturator fossa. © 2011 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.

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Paulson, J. D., & Baker, J. (2011, July). De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence. Journal of the Society of Laparoendoscopic Surgeons. https://doi.org/10.4293/108680811X13125733356279

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