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Obturator neuropathy: an adverse outcome of a trans-obturator vaginal mesh to repair pelvic organ prolapse |
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| Authors: | Ornella Lam Van Ba Laurent Wagner Renaud de Tayrac |
| Affiliation: | 1. Department of Urology, N?mes University Hospital, N?mes, France 2. Department of Gynecology and Obstetrics, N?mes University Hospital, N?mes, France 3. Service de Gynécologie Obstétrique, H?pital Carémeau, Centre Hospitalier Universitaire de N?mes, Place du Professeur Debré, 30029, N?mes Cedex 9, France |
| Abstract: | We report a case of obturator neuropathy induced by trans-obturator vaginal mesh surgery for symptomatic cystocele. Initial electromyography excluded genito-femoral and pudendal nerve deficiency. Typical clinical arguments for severe obturator neuropathy at physical examination led to vaginal revision surgery with hemi-resection of the mesh to the ischio-pubic branch. This fully relieved obturator-induced pain and reversed adductor muscle motor deficiency. |
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