According to data reported to the system by Manufacturer and User Facility Device Experience Database (MAUDE) in 2004, two neuropathy cases were present in reported 89 TOT related complications [6]. Obturator nerves are mixed sensory-motor nerves formed by L2-L4 spinal nerve roots. They innervate medial cutaneous skin of the thigh and leg, adductor muscles of leg, and proprioceptors of hip and knee joints. After exiting the spinal cord, it lies on the psoas muscle and passes through the minor pelvis. At the pelvic sidewall, it lies anteroinferiorly and leaves the pelvis by passing through the obturator foramen [7]. Obturator nerve injury may also develop during obstructed labor or the use of forceps. Also it can result after obturator hernia repair, TVT or TOT procedures, and hip surgeries [8, 9]. Clinically radiating pain, exacerbated with internal rotation and extension that is localized anteroinferior to the inguinal region and thigh, is in the foreground. On examination, paresthesia or hypoesthesia and loss of motor function in the adductor muscles may be viewed.
Posted on: Tue, 07 Oct 2014 12:03:50 +0000
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