Complete laparoscopic removal of retropubic midurethral tape (tension-free vaginal tape) from the obturator nerve: a multidisciplinary approach
- 194 Downloads
KeywordsTrans-vaginal tape Complication Obturator nerve Obturator neuralgia Mesh
Obturator neuralgia following mid-urethral sling is rare and most commonly associated with transobturator tapes . Prior reports of obturator nerve injury from retropubic midurethral tape (or tension-free vaginal tape, TVT) have described leaving the portion of tape attached to the nerve in situ [2, 3]. We present a case of obturator neuralgia secondary to lateral retropubic tape misplacement. A multi-disciplinary approach resulted in complete tape removal.
During retropubic mid-urethral sling insertion, care should be taken not to advance the mesh laterally. In patients suffering from post-operative obturator neuralgia, malpositioning of the tape should be considered, although it is challenging to diagnose pre-operatively.
Compliance with ethical standards
Conflicts of interest
Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Video demonstrating complete laparoscopic removal of retropubic midurethral tape (TVT) from the obturator nerve. (MP4 419059 kb)
- 2.Favors S, Chinthakanan O, Miklos J, Moore R. Obturator neuralgia: complete resolution after laparoscopic retropubic sling removal: a report of 2 cases. J Genit Syst Disord 2016;5(3). Available from: http://www.scitechnol.com/peer-review/obturator-neuralgia-complete-resolution-after-laparoscopic-retropubic-sling-removal-a-report-of-2-cases-p0if.php?article_id=5283.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.