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Updated: Mar 26, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Published on: June 16, 2022

Clitoral Pain Following Retropubic Midurethral Sling Placement.

Melanie Christofferson¹, Jami Barnard¹, T Ignacio Montoya²

¹Department of Obstetrics and Gynecology Texas Tech University Health Sciences Center El Paso El Paso TX USA.

Sexual Medicine

|January 23, 2016

Summary

Post-surgical clitoral pain can occur after retropubic midurethral sling placement for stress urinary incontinence. Prompt evaluation and management are crucial to address this pain and its impact on sexual function.

Keywords:

Clitoral Pain Midurethral Sling Sexual Dysfunction

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Area of Science:

Urology
Female Sexual Health
Surgical Complications

Background:

Retropubic midurethral sling placement is a common treatment for stress urinary incontinence.
While uncommon, postprocedural pain and sexual dysfunction can occur after this surgery.

Purpose of the Study:

To report a case of persistent clitoral pain following retropubic midurethral sling placement.
To discuss clitoral innervation, potential pain etiologies, and management strategies.

Main Methods:

A case report of a 41-year-old woman who developed severe, persistent clitoral pain post-surgery.
Review of clitoral anatomy and potential mechanisms of nerve injury.
Discussion of treatment options, including steroid medication.

Main Results:

The patient experienced localized, severe, persistent periclitoral pain, exacerbated by arousal.
Symptoms significantly impaired sexual function.
Pain resolved with time and a course of steroid medication.

Conclusions:

Clitoral pain following retropubic midurethral sling placement is a potential complication.
Early evaluation and intervention are necessary to mitigate negative impacts on sexual function.
Understanding clitoral innervation is key to managing this condition.