Oral Health and Diagnostic Sciences

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Genitofemoral and perineal neuralgia after transobturator midurethral sling

Brent A. Parnell; Elisabeth A. Johnson; Denniz A. Zolnoun (Profiled Author: Brent A Parnell)

Obstetrics and Gynecology. 2012;119(2 PART 2):428-431.

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. © 2012 by The American College of Obstetricians and Gynecologists.

PMID: 22270427    

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