[Vaginal revision of irritation of the obturator nerve within colposuspension].
Irritation of the obturator-nerve within colposuspension is a possible complication because of topographic proximity between obturator-nerve and operating-field. The main symptoms are weakness of the adductor muscles, sensory disturbance of thigh till paralysis and pain in the operating- field early after surgery. Too lateral fixing of the sutures in the pectineal ligament above the obturator-channel can cause compression of the obturator-nerve. Precocious intervention is a precondition for complete remission of symptoms, retropubic revise of surgery is evident. The method outlined here describes vaginal access for re-surgery with lateral colpotomy and dissection of the proximal colposuspension s suture. In this way a recurrent laparotomy with additional trauma of the operating-field can be avoided. In the case described here, this method led to the patients complete remission.
Wildt
B
B
Deutsches Beckenbodenzentrum, Fachbereich Urogynäkologie, Neurologie, St. Hedwig Kliniken, Lehrkrankenhaus der Charité Universitätsmedizin, Humboldt-Universität zu Berlin.
Gauruder-Burmester
A
A
Rohne
J
J
Ebersbach
A
A
Tunn
R
R
D000328:Adult; D003127:Colposcopy; D005260:Female; D006801:Humans; D018908:Muscle Weakness / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000601:surgery*; D009776:Obturator Nerve / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation; D014550:Urinary Incontinence, Stress / Q000601:surgery*