Int Urogynecol J Pelvic Floor Dysfunct. 2010 Nov 9. [Epub ahead of print]
Nerve injury locations during retropubic sling procedures.
Fisher HW, Lotze PM.
Women's Pelvic Health & Continence Center, 7900 Fannin, Suite 4602, Houston, TX, 77054, USA.
Abstract
The risk of persistent pain following a retropubic sling is rare (1%). Nerve injuries have been suspected as a cause of persistent postoperative pain. We present two cases of postoperative pain thought to be secondary to injury or mechanical distortion of two different pelvic nerves. Visual exam, cystoscopy, and MRI studies demonstrated no abnormal findings. Manual examination produced site-specific tenderness thought to be associated with a specific nerve distribution. Each patient's pain was first relieved with a local anesthetic block at the site of the pain. One patient required surgical excision of the mesh, and the second patient only required conservative management. Both patients' pain completely resolved. Based on these and other reported cases, along with cadaveric dissections, we hypothesize that retropubic slings can potentially injure the pudendal, ilioinguinal, and iliohypogastric nerve branches.
PMID: 21060989 [PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/21060989
Nerve injury in sling procedures
Nerve injury in sling procedures
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.