Femoral nerve neuropathy after the psoas hitch procedure.
We report the first 3 cases of femoral nerve neuropathy after a psoas hitch vesicopexy, a technique commonly used with ureteroneocystostomy. The condition in 2 patients resolved with conservative therapy, and the third patient required reoperation with removal of an offending suture. All 3 patients recovered completely with no residual neurologic deficit. Urologists who use the psoas hitch must be familiar with this potential complication to prevent its occurrence.
Kowalczyk
J J
JJ
Department of Urology, J.W. Riley Hospital for Children, Indianapolis, IN 46202, USA.
Keating
M A
MA
Ehrlich
R M
RM
D000328:Adult; D002675:Child, Preschool; D005260:Female; D005267:Femoral Nerve; D006801:Humans; D008297:Male; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D011183:Postoperative Complications; D016658:Psoas Muscles / Q000601:surgery*; D013536:Suture Techniques; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*