title: Clitoral Pain Following Retropubic Midurethral Sling Placement.
abstract: BACKGROUND
  Although uncommon, postprocedural pain with associated sexual dysfunction may be seen in patients after retropubic midurethral sling placement for treatment of stress urinary incontinence.
  
  
  OBJECTIVE
  To describe a report of a woman who developed localized severe, persistent periclitoral pain after placement of a retropubic midurethral sling.
  
  
  METHODS
  A healthy 41-year-old underwent an uncomplicated retropubic midurethral sling procedure. She developed persistent postoperative clitoral pain with worsening associated with arousal, impairing sexual function. Symptoms resolved with time and a course of steroid medication.
  
  
  METHODS
  To report a case of clitoral pain following midurethral sling surgery, and to provide a discussion about clitoral innervation, possible pain etiologies, and management options.
  
  
  RESULTS
  We report a case of clitoral pain associated with sexual dysfunction and provide a review of clitoral innervation as well as potential mechanisms of nerve injury associated with a retropubic sling procedure.
  
  
  CONCLUSIONS
  Clitoral pain symptoms following placement of a retropubic midurethral sling should be evaluated and promptly addressed, given the potential negative impact on the patient's sexual function. Christofferson M, Barnard J, and Montoya TI. Clitoral pain following retropubic midurethral sling placement. Sex Med 2015;3:346-348.
authors.affiliation: Department of Obstetrics and Gynecology Texas Tech University Health Sciences Center El Paso El Paso TX USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Christofferson
authors.affiliation: Department of Obstetrics and Gynecology Texas Tech University Health Sciences Center El Paso El Paso TX USA.
authors.forename: Jami
authors.initials: J
authors.lastname: Barnard
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery Texas Tech University Health Sciences Center El Paso El Paso TX USA.
authors.forename: T Ignacio
authors.initials: TI
authors.lastname: Montoya
keywords: Clitoral Pain; Midurethral Sling; Sexual Dysfunction