Femoral neuropathy complicating urologic abdominopelvic procedures.
We report on 3 cases of femoral neuropathy following radical surgery for urologic malignancy. The defect was bilateral in 2 patients. Compression from self-retaining retractors was the presumed mechanism of injury in all patients. Spontaneous improvement was observed in each case although the symptoms did not resolve completely. The pathophysiology contributing to this operative complication as well as measures for prevention and treatment are discussed.
Hall
M C
MC
Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
Koch
M O
MO
Smith
J A
JA
D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000556:secondary; D005267:Femoral Nerve / Q000293:injuries*; D006801:Humans; D007431:Intraoperative Complications; D008197:Lymph Node Excision / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications; D013736:Testicular Neoplasms / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery