Bilateral femoral neuropathy after prostatectomy. Case report and bibliographic review
To report one case of postoperative lateral femoral neuropathy presenting after a retropubic radical prostatectomy. We review the topic. We describe the case of a 72-year-old patient undergoing radical prostatectomy. Combined anesthesia, general and spinal, was given. A self-retaining automatic retr...
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Veröffentlicht in: | Archivos españoles de urología 2008-10, Vol.61 (8), p.929-932 |
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creator | Hernández Castrillo, Alberto de Diego Rodríguez, Enrique Rado Velázquez, Miguel Angel Lanzas Prieto, José Manuel Galindo Palazuelos, Mónica Terrazas Hontañon, Jesús María |
description | To report one case of postoperative lateral femoral neuropathy presenting after a retropubic radical prostatectomy. We review the topic.
We describe the case of a 72-year-old patient undergoing radical prostatectomy. Combined anesthesia, general and spinal, was given. A self-retaining automatic retractor (Omnitract) was employed. In the immediate postoperative period the patient presented bilateral femoral neuropathy, with difficulties for knees extension and hips flexion, diminished patellar reflex, and absence of sensitivity in the anterior area of the thighs. MRI was performed to rule out spinal pathology.
The symptoms improved a lot within a week, completely recovering after two months.
Femoral neuropathy is a rare complication after pelvic surgery. In our case we believe it was secondary to nerve compression by the retractor. |
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We describe the case of a 72-year-old patient undergoing radical prostatectomy. Combined anesthesia, general and spinal, was given. A self-retaining automatic retractor (Omnitract) was employed. In the immediate postoperative period the patient presented bilateral femoral neuropathy, with difficulties for knees extension and hips flexion, diminished patellar reflex, and absence of sensitivity in the anterior area of the thighs. MRI was performed to rule out spinal pathology.
The symptoms improved a lot within a week, completely recovering after two months.
Femoral neuropathy is a rare complication after pelvic surgery. In our case we believe it was secondary to nerve compression by the retractor.</description><identifier>ISSN: 0004-0614</identifier><identifier>PMID: 19040163</identifier><language>spa</language><publisher>Spain</publisher><subject>Aged ; Femoral Nerve - injuries ; Humans ; Intraoperative Complications - etiology ; Male ; Prostatectomy</subject><ispartof>Archivos españoles de urología, 2008-10, Vol.61 (8), p.929-932</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19040163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hernández Castrillo, Alberto</creatorcontrib><creatorcontrib>de Diego Rodríguez, Enrique</creatorcontrib><creatorcontrib>Rado Velázquez, Miguel Angel</creatorcontrib><creatorcontrib>Lanzas Prieto, José Manuel</creatorcontrib><creatorcontrib>Galindo Palazuelos, Mónica</creatorcontrib><creatorcontrib>Terrazas Hontañon, Jesús María</creatorcontrib><title>Bilateral femoral neuropathy after prostatectomy. Case report and bibliographic review</title><title>Archivos españoles de urología</title><addtitle>Arch Esp Urol</addtitle><description>To report one case of postoperative lateral femoral neuropathy presenting after a retropubic radical prostatectomy. We review the topic.
We describe the case of a 72-year-old patient undergoing radical prostatectomy. Combined anesthesia, general and spinal, was given. A self-retaining automatic retractor (Omnitract) was employed. In the immediate postoperative period the patient presented bilateral femoral neuropathy, with difficulties for knees extension and hips flexion, diminished patellar reflex, and absence of sensitivity in the anterior area of the thighs. MRI was performed to rule out spinal pathology.
The symptoms improved a lot within a week, completely recovering after two months.
Femoral neuropathy is a rare complication after pelvic surgery. In our case we believe it was secondary to nerve compression by the retractor.</description><subject>Aged</subject><subject>Femoral Nerve - injuries</subject><subject>Humans</subject><subject>Intraoperative Complications - etiology</subject><subject>Male</subject><subject>Prostatectomy</subject><issn>0004-0614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kLFOwzAURT2AaCn8AvLEFmTnOY4zQgUUqRJLxRrZyQs1cmJjJ6D8PUGU6Q736OjqnpE1Y0xkTHKxIpcpfTAGihfFBVnxignGJazJ24N1esSoHe2w97854BR90ONxprpbKhqiT-MCNaPv5zu61QlpxODjSPXQUmONs_496nC0zVJ8Wfy-IueddgmvT7khh6fHw3aX7V-fX7b3-ywUAjIOUnWiU6wRwKtCVUUJpQEpVC7LVglTFk1TdnmZoxBGArJcI7DcaOC5Yi1syO2fdpn4OWEa696mBp3TA_op1bJSoBb1At6cwMn02NYh2l7Huf4_An4A1bdYrg</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Hernández Castrillo, Alberto</creator><creator>de Diego Rodríguez, Enrique</creator><creator>Rado Velázquez, Miguel Angel</creator><creator>Lanzas Prieto, José Manuel</creator><creator>Galindo Palazuelos, Mónica</creator><creator>Terrazas Hontañon, Jesús María</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200810</creationdate><title>Bilateral femoral neuropathy after prostatectomy. Case report and bibliographic review</title><author>Hernández Castrillo, Alberto ; de Diego Rodríguez, Enrique ; Rado Velázquez, Miguel Angel ; Lanzas Prieto, José Manuel ; Galindo Palazuelos, Mónica ; Terrazas Hontañon, Jesús María</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p543-1368f4f80c43195895737b3648267d84b75cc7f272e44b63e02ae302ba31280d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Femoral Nerve - injuries</topic><topic>Humans</topic><topic>Intraoperative Complications - etiology</topic><topic>Male</topic><topic>Prostatectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hernández Castrillo, Alberto</creatorcontrib><creatorcontrib>de Diego Rodríguez, Enrique</creatorcontrib><creatorcontrib>Rado Velázquez, Miguel Angel</creatorcontrib><creatorcontrib>Lanzas Prieto, José Manuel</creatorcontrib><creatorcontrib>Galindo Palazuelos, Mónica</creatorcontrib><creatorcontrib>Terrazas Hontañon, Jesús María</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos españoles de urología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hernández Castrillo, Alberto</au><au>de Diego Rodríguez, Enrique</au><au>Rado Velázquez, Miguel Angel</au><au>Lanzas Prieto, José Manuel</au><au>Galindo Palazuelos, Mónica</au><au>Terrazas Hontañon, Jesús María</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral femoral neuropathy after prostatectomy. Case report and bibliographic review</atitle><jtitle>Archivos españoles de urología</jtitle><addtitle>Arch Esp Urol</addtitle><date>2008-10</date><risdate>2008</risdate><volume>61</volume><issue>8</issue><spage>929</spage><epage>932</epage><pages>929-932</pages><issn>0004-0614</issn><abstract>To report one case of postoperative lateral femoral neuropathy presenting after a retropubic radical prostatectomy. We review the topic.
We describe the case of a 72-year-old patient undergoing radical prostatectomy. Combined anesthesia, general and spinal, was given. A self-retaining automatic retractor (Omnitract) was employed. In the immediate postoperative period the patient presented bilateral femoral neuropathy, with difficulties for knees extension and hips flexion, diminished patellar reflex, and absence of sensitivity in the anterior area of the thighs. MRI was performed to rule out spinal pathology.
The symptoms improved a lot within a week, completely recovering after two months.
Femoral neuropathy is a rare complication after pelvic surgery. In our case we believe it was secondary to nerve compression by the retractor.</abstract><cop>Spain</cop><pmid>19040163</pmid><tpages>4</tpages></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
subjects | Aged Femoral Nerve - injuries Humans Intraoperative Complications - etiology Male Prostatectomy |
title | Bilateral femoral neuropathy after prostatectomy. Case report and bibliographic review |
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