Introduction
You are a resident on your urogyencology rotation. You encounter a 45-year-old female who is complaining of pain since she had a tension free vaginal tape procedure for stress urinary incontinence.
Her procedure was approximately 1 year ago. She had pain immediate after the procedure. She has brought the operative report with her, and it seems that there were no complications during the procedure and the cystoscopy was normal.
She describes her pain was right sided around the groin, behind the right side of the pubic bone, right labia and radiates into the right upper inner thigh. She states that walking aggravates the pain. She describes the pain as intense and sharp. At times it feels like a “hot knife”.
She has seen her original surgeon who wasn’t sure what the pain was from. She has had and ultrasound and cystoscopy, both of which were normal. She is here for a second opinion.
What do you think is going on?
You are a resident on your urogyencology rotation. You encounter a 45-year-old female who is complaining of pain since she had a tension free vaginal tape procedure for stress urinary incontinence.
Her procedure was approximately 1 year ago. She had pain immediate after the procedure. She has brought the operative report with her, and it seems that there were no complications during the procedure and the cystoscopy was normal.
She describes her pain was right sided around the groin, behind the right side of the pubic bone, right labia and radiates into the right upper inner thigh. She states that walking aggravates the pain. She describes the pain as intense and sharp. At times it feels like a “hot knife”.
She has seen her original surgeon who wasn’t sure what the pain was from. She has had and ultrasound and cystoscopy, both of which were normal. She is here for a second opinion.
What do you think is going on?