title: Obturator neuropathy: an adverse outcome of a trans-obturator vaginal mesh to repair pelvic organ prolapse.
abstract: We report a case of obturator neuropathy induced by trans-obturator vaginal mesh surgery for symptomatic cystocele. Initial electromyography excluded genito-femoral and pudendal nerve deficiency. Typical clinical arguments for severe obturator neuropathy at physical examination led to vaginal revision surgery with hemi-resection of the mesh to the ischio-pubic branch. This fully relieved obturator-induced pain and reversed adductor muscle motor deficiency.
authors.affiliation: Department of Urology, Nîmes University Hospital, Nîmes, France.
authors.forename: Ornella Lam
authors.initials: OL
authors.lastname: Van Ba
authors.forename: Laurent
authors.initials: L
authors.lastname: Wagner
authors.forename: Renaud
authors.initials: R
authors.lastname: de Tayrac
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D009776:Obturator Nerve / Q000293:injuries*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*