title: De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence.
abstract: OBJECTIVE
  Five cases of pelvic nerve complications after transobturator tape (TOT) inside-out surgical procedures for stress urinary incontinence are presented.
  
  
  METHODS
  We conducted a chart review of patients with complications referred to our practice.
  
  
  RESULTS
  Five patients with nerve complications after TOT inside-out procedures were investigated. Pudendal neuropathy and interstitial cystitis were seen in this series of patients with several patients having myofascial pain in the lower abdominal area.
  
  
  CONCLUSIONS
  Although  not commonly reported, complications from needle placement and from the area of needle exit in a TOT procedure can exist, and the surgeon must be careful when placing the needle through the area of the obturator fossa.
authors: Institute for Advanced Endoscopic Training, Rockville, 15636 Haddonfield Way, Gaithersburg, Maryland 20878, USA. endodoc11@gmail.com
authors: John D
authors: JD
authors: Paulson
authors: James
authors: J
authors: Baker
mesh_terms: D006801:Humans; D009437:Neuralgia / Q000175:diagnosis / Q000453:epidemiology*; D011183:Postoperative Complications / Q000453:epidemiology; D060545:Pudendal Neuralgia; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*