Document Detail


Transient obturator neuropathy due to local anesthesia during transobturator sling placement.
MedLine Citation:
PMID:  18633557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The transobturator tape procedure is a popular minimally invasive procedure to treat stress urinary incontinence. A 42-year-old woman with stress urinary incontinence underwent a transobturator sling under intravenous sedation and local injection with a mixture of 0.5% bupivicaine and 1% lidocaine with 1:200,000 epinephrine. After surgery, she had difficulty with adduction of the left leg, consistent with a left obturator neuropathy, which improved after approximately 12 h and completely resolved by the next day. Although the transobturator tape is an effective, minimally invasive procedure that may be performed on an outpatient basis, caution should be used in the dosage, type, and amount of local anesthesia used. Post-operative obturator paralysis can be expectantly managed as the symptoms should resolve after the local anesthesia wears off.
Authors:
Amy J Park; John M Fisch; John L Fisch; Mark D Walters
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-17
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  20     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-06-03     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  247-9     Citation Subset:  IM    
Affiliation:
Cleveland Clinic, Section of Female Pelvic Medicine & Reconstructive Pelvic Surgery, Department of Gynecology & Obstetrics, 9500 Euclid Ave Desk A81, Cleveland, OH, 44195, USA. parka@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthetics, Local / adverse effects*,  pharmacology
Bupivacaine / adverse effects*,  pharmacology
Female
Humans
Lidocaine / adverse effects*,  pharmacology
Nervous System Diseases / chemically induced*,  diagnosis
Obturator Nerve / drug effects,  injuries*
Suburethral Slings*
Urinary Incontinence, Stress / surgery*
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 137-58-6/Lidocaine; 2180-92-9/Bupivacaine
Comments/Corrections
Erratum In:
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):267
Note: Fisch, John L [corrected to Fisch, John M]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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