Genitofemoral and perineal neuralgia after transobturator midurethral sling

Brent A. Parnell, Elisabeth A. Johnson, Denniz A. Zolnoun

Research output: Contribution to journalArticle

14 Scopus citations

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 languageEnglish (US)
Pages (from-to)428-431
Number of pages4
JournalObstetrics and gynecology
Volume119
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2012

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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