What to Do for Debilitating Thigh Pain After Transobturator Sling Placement? (Video)

Prospective study shows thigh dissection can help

Transobturator mid-urethral sling placement for stress incontinence, while posing slightly less risk of bladder obstruction than retropubic slings, can cause rare debilitating de novo neurologic symptoms, commonly in the groin or thigh.

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Cleveland Clinic Glickman Urological and Kidney Institute female urology specialists conducted a prospective series to evaluate thigh dissection with mesh removal for patients experiencing refractory thigh pain after all conservative management options were exhausted. Their study of 12 dissections in eight patients was published in The Journal of Urology.

In this video, study coauthor Howard Goldman, MD, who has a joint appointment in the departments of Urology and Obstetrics and Gynecology, discusses research findings.