De Novo Pudendal Neuropathy After TOT-O Surgery for Stress Urinary Incontinence

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.