title: Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy.
abstract: Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapraxia after RALP upon waking from anesthesia. Work-up revealed an expansile hematoma possibly compressing the obturator nerve. After evacuation of the hematoma, the patient had immediate improvement of his neurologic deficits. Our patient's clinical vignette illustrates the importance of considering postsurgical hematoma in the differential diagnosis when patients present with signs and symptoms of obturator neurapraxia after RALP.
authors: Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Jun H
authors: JH
authors: Song
authors: Department of Urology, Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Joshua R
authors: JR
authors: Kaplan
authors: Department of Urology, Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Daniel
authors: D
authors: Abbott
authors: Department of Anesthesiology, Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Eric
authors: E
authors: Gewirtz
authors: Department of Anesthesiology, Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Ellen
authors: E
authors: Hauck
authors: Department of Urology, Temple University School of Medicine , Philadelphia, Pennsylvania.
authors: Daniel D
authors: DD
authors: Eun
keywords: RALP; prostate cancer; robotics