Abstract
BACKGROUND: Midurethral slings successfully treat stress urinary incontinence through a minimally invasive vaginal approach. Postoperative pain related to sling placement can occur and poses both diagnostic and treatment dilemmas. CASE: Four years after transobturator midurethral sling placement, the patient presented with complaints of left labial pain and dyspareunia since surgery. Using sensory mapping and a nerve stimulator, the problem was identified in the distribution of the genitofemoral nerve. Conservative therapy with a centrally acting neuromodulatory drug and nerve block relieved the pain. CONCLUSION: Postsling neuralgia diagnosis using sensory mapping and a nerve stimulator aids in indentifying the nerve involved and in successful conservative treatment with a nerve block.
Original language | English (US) |
---|---|
Pages (from-to) | 428-431 |
Number of pages | 4 |
Journal | Obstetrics and gynecology |
Volume | 119 |
Issue number | 2 PART 2 |
DOIs | |
State | Published - Feb 2012 |
Externally published | Yes |
ASJC Scopus subject areas
- Obstetrics and Gynecology