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Obturator neuropathy: an adverse outcome of a trans-obturator vaginal mesh to repair pelvic organ prolapse

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Abstract

We report a case of obturator neuropathy induced by trans-obturator vaginal mesh surgery for symptomatic cystocele. Initial electromyography excluded genito-femoral and pudendal nerve deficiency. Typical clinical arguments for severe obturator neuropathy at physical examination led to vaginal revision surgery with hemi-resection of the mesh to the ischio-pubic branch. This fully relieved obturator-induced pain and reversed adductor muscle motor deficiency.

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Abbreviations

POP:

Pelvic organ prolapse

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Consent

In agreement with French ethical requirements, Dr Laurent Wagner obtained the patient’s consent to perform this case report.

Conflicts of interest

Prof. Renaud de Tayrac received fees from Aspide Medical, Sofradim-Covidien, Coloplast, and Boston Scientific.

Author information

Authors and Affiliations

  1. Department of Urology, Nîmes University Hospital, Nîmes, France

    Ornella Lam Van Ba & Laurent Wagner

  2. Department of Gynecology and Obstetrics, Nîmes University Hospital, Nîmes, France

    Renaud de Tayrac

  3. Service de Gynécologie Obstétrique, Hôpital Carémeau, Centre Hospitalier Universitaire de Nîmes, Place du Professeur Debré, 30029, Nîmes Cedex 9, France

    Renaud de Tayrac

Authors
  1. Ornella Lam Van Ba
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  2. Laurent Wagner
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  3. Renaud de Tayrac
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Corresponding author

Correspondence to Renaud de Tayrac.

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Van Ba, O.L., Wagner, L. & de Tayrac, R. Obturator neuropathy: an adverse outcome of a trans-obturator vaginal mesh to repair pelvic organ prolapse. Int Urogynecol J 25, 145–146 (2014). https://doi.org/10.1007/s00192-013-2140-9

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  • DOI: https://doi.org/10.1007/s00192-013-2140-9

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