title: Obturator nerve injury: a rare complication of retropubic tension-free vaginal sling.
abstract: The tension-free vaginal tape (TVT) retropubic sling is a very effective treatment for stress urinary incontinence. High cure rates are typically achieved, and the reported complication rate is relatively low. Obturator neuralgia secondary to insertion of a midurethral sling is a rare and specific type of chronic pain that is more commonly associated with transobturator tape slings. The purpose of this video case report was to demonstrate that obturator nerve injury is a possible complication of TVT retropubic slings placement. A discussion of symptoms and signs of obturator nerve injury and how these should be managed is also presented.
authors.affiliation: Obstetrics and Gynaecology, Oxford University Hospitals Trust, Oxford, UK. georgina.baines@doctors.org.uk.|John Radcliffe Hospital, Headley Way, Headington, OX3 9DU, Oxford, UK. georgina.baines@doctors.org.uk.
authors.forename: Georgina
authors.identifier: http://orcid.org/0000-0003-3689-1012
authors.initials: G
authors.lastname: Baines
authors.affiliation: Obstetrics and Gynaecology, Oxford University Hospitals Trust, Oxford, UK.
authors.forename: Simon R
authors.initials: SR
authors.lastname: Jackson
authors.affiliation: Obstetrics and Gynaecology, Oxford University Hospitals Trust, Oxford, UK.
authors.forename: Natalia
authors.initials: N
authors.lastname: Price
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009437:Neuralgia / Q000209:etiology*; D009776:Obturator Nerve / Q000293:injuries*; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000601:surgery*
keywords: Complication; Obturator neuralgia; Removal; Transvaginal tape