Nerve injuries in urological surgery.
It is well known that surgical procedures are followed by different complications, connected with nerve injury at the site of wound. In case of complete lesion due to nerve suturing or nerve interposition the prognosis remains questionable and may be complicated by neuroma later on. The symptoms of nerve damage are Causalgia (in case of combined with lesion of Nn. splanchnici: extreme burning pain, maximum after weeks, decreasing later on); Posttraumatic neuralgia: located mostly in legs: long persistent dump pains; and Neuroma Following complete lesion with or without nerve suture or nerve interposition: extremely painful and usually revision is necessary. During the surgical access to the kidneys n. Intercostalis 11-T12, n. Iliohypogastricus T12-L1, n. Ilioinguinalis T12-L1, n. Iliohypogastricus T12-L1, n. Ilioinguinalis T12-L1 may get damaged, in case of groin incision-n. Cutaneus femoralis lateralis L2-L3, n. Pudendalis S2-S4 and in Psoas Hitch procedure-n. Genitofemoralis L1-L2, n. Femoralis L1-L4, Obturatorius L2-L5.
Hohenfellner
R
R
Mainz University School of Medicine, Mainz, Germany.
D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D059348:Peripheral Nerve Injuries; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D014551:Urinary Tract / Q000294:innervation* / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000706:statistics & numerical data