Two Cases of Femoral Nerve Palsy after Pelvic Surgery

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  • KINASE Satoka
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • HOSHI Akio
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • IIMURA Tsubasa
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • SAKURAI Hiromichi
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • ISODA Bunpei
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • KOJO Kosuke
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • SAKKA Syotaro
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • TANAKA Ken
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • IKEDA Atsushi
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • YOSHINO Takayuki
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • KIMURA Tomokazu
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • KANDORI Syuya
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • KAWAHARA Takashi
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • NEGORO Hiromitsu
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • KOJIMA Takahiro
    The Department of Urology, Faculty of Medicine, University of Tsukuba
  • NISHIYAMA Hiroyuki
    The Department of Urology, Faculty of Medicine, University of Tsukuba

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Other Title
  • 骨盤内手術術後大腿神経麻痺を来たした2例
  • コツバン ナイ シュジュツ ジュツゴ ダイタイ シンケイ マヒ オ キタ シタ 2レイ

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Abstract

Postoperative femoral nerve palsy (FNP) is a rare complication associated with urologic surgery. Inappropriate use of retractors, use of lithotomy position, and prolonged surgery that lead to the femoral nerve compression have been reported as risk factors for FNP. Here, we report two cases of FNP after pelvic surgery. Case 1: A 47-year-old woman underwent ureterocystoneostomy for a giant ureterocele. On the first postoperative day, she developed muscle weakness and paresthesia in the left lower leg. An orthopedic surgeon diagnosed her with FNP associated with the surgery. Case 2: An 82-year-old woman underwent radical cystectomy for invasive bladder cancer. On the second postoperative day, she developed extension deficit in the left lower leg and was diagnosed with an iatrogenic FNP. Although this complication is infrequent, at onset, it leads to difficulty in walking and gait disturbance in the patient. As a result, it greatly reduces the patient's postoperative quality of life. Therefore, preventive measures should be taken to reduce the risk of this postsurgical nerve injury, such as appropriate placement of retractors and proper patient positioning during the operation.

Journal

  • 泌尿器科紀要

    泌尿器科紀要 69 (1), 25-28, 2023-01-31

    泌尿器科紀要刊行会

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