title: Obturator neuropathy after retropubic tension-free vaginal tape placement.
abstract: BACKGROUND
  We report a case of obturator neuropathy associated with retropubic midurethral sling.
  
  
  METHODS
  After retropubic tension-free vaginal tape (TVT) placement, a 36-year-old woman reported right inguinal region and thigh pain, both exacerbated with internal rotation and adduction. Neurologic examination was remarkable for two-fifths strength with right thigh adduction and an involuntary lateral drift of her right thigh with straight leg raise. Radiologic evaluation was unrevealing. With persistence of motor symptoms and pain, partial sling removal on the right was performed. Symptoms subsided postoperatively, and the patient ultimately recovered with no residual neurologic sequelae.
  
  
  CONCLUSIONS
  Recognition of an atypical complication, obturator neuropathy, of retropubic TVT placement with prompt partial right sling removal on postoperative day 2 resulted in complete recovery of neurologic sequelae.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Aparna
authors.initials: A
authors.lastname: Ramanathan
authors.forename: Stefanie
authors.initials: S
authors.lastname: Bryant
authors.forename: T Ignacio
authors.initials: TI
authors.lastname: Montoya
authors.forename: Clifford Y
authors.initials: CY
authors.lastname: Wai
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D006801:Humans; D018908:Muscle Weakness / Q000209:etiology; D018482:Muscle, Skeletal; D010523:Peripheral Nervous System Diseases / Q000209:etiology* / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*