经闭孔无张力尿道中段吊带术（TOT-O）治疗压力性尿失禁后新发的阴部神经病变
De novo pudendal neuropathy after TOT-O surgery for stress urinary incontinence.
作者信息
Paulson John D, Baker James
机构信息
Institute for Advanced Endoscopic Training, Rockville, 15636 Haddonfield Way, Gaithersburg, Maryland 20878, USA.
出版信息
JSLS. 2011 Jul-Sep;15(3):326-30. doi: 10.4293/108680811X13125733356279.
Abstract
BACKGROUND AND OBJECTIVES
Five cases of pelvic nerve complications after transobturator tape (TOT) inside-out surgical procedures for stress urinary incontinence are presented.
METHODS
We conducted a chart review of patients with complications referred to our practice.
RESULTS
Five patients with nerve complications after TOT inside-out procedures were investigated. Pudendal neuropathy and interstitial cystitis were seen in this series of patients with several patients having myofascial pain in the lower abdominal area.
CONCLUSIONS
Although not commonly reported, complications from needle placement and from the area of needle exit in a TOT procedure can exist, and the surgeon must be careful when placing the needle through the area of the obturator fossa.
摘要
背景与目的
本文报告了5例因经闭孔尿道中段悬吊带术（TOT）由外向内手术操作导致盆腔神经并发症的病例。
方法
我们对转诊至我院的并发症患者病历进行了回顾。
结果
对5例TOT由外向内手术操作后出现神经并发症的患者进行了调查。在这组患者中发现了阴部神经病变和间质性膀胱炎，还有数名患者存在下腹部肌筋膜疼痛。
结论
虽然TOT手术操作导致的并发症并不常见，但针的置入及针穿出部位均可能引发并发症，术者在将针穿过闭孔窝区域时必须谨慎操作。
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