Genitofemoral and perineal neuralgia after transobturator midurethral sling

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

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

Fingerprint

Suburethral Slings
Nerve Block
Neuralgia
Dyspareunia
Pain
Stress Urinary Incontinence
Postoperative Pain
Lip
Pharmaceutical Preparations
Conservative Treatment
Therapeutics

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Genitofemoral and perineal neuralgia after transobturator midurethral sling. / Parnell, Brent A.; Johnson, Elisabeth A.; Zolnoun, Denniz A.

In: Obstetrics and Gynecology, Vol. 119, No. 2 PART 2, 01.02.2012, p. 428-431.

Research output: Contribution to journalArticle

Parnell, Brent A. ; Johnson, Elisabeth A. ; Zolnoun, Denniz A. / Genitofemoral and perineal neuralgia after transobturator midurethral sling. In: Obstetrics and Gynecology. 2012 ; Vol. 119, No. 2 PART 2. pp. 428-431.
@article{82c94e5b2ea940b7abcb78d24af3a104,
title = "Genitofemoral and perineal neuralgia after transobturator midurethral sling",
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.",
author = "Parnell, {Brent A.} and Johnson, {Elisabeth A.} and Zolnoun, {Denniz A.}",
year = "2012",
month = "2",
day = "1",
doi = "10.1097/AOG.0b013e31822c96cb",
language = "English (US)",
volume = "119",
pages = "428--431",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "2 PART 2",

}

TY - JOUR

T1 - Genitofemoral and perineal neuralgia after transobturator midurethral sling

AU - Parnell, Brent A.

AU - Johnson, Elisabeth A.

AU - Zolnoun, Denniz A.

PY - 2012/2/1

Y1 - 2012/2/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84858762105&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858762105&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e31822c96cb

DO - 10.1097/AOG.0b013e31822c96cb

M3 - Article

C2 - 22270427

AN - SCOPUS:84858762105

VL - 119

SP - 428

EP - 431

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 2 PART 2

ER -