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
Hauptverfasser: Hernández Castrillo, Alberto, de Diego Rodríguez, Enrique, Rado Velázquez, Miguel Angel, Lanzas Prieto, José Manuel, Galindo Palazuelos, Mónica, Terrazas Hontañon, Jesús María
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container_issue 8
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container_title Archivos españoles de urología
container_volume 61
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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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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