After urethral reconstruction

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Sadder

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Patient after recostructive urethral surgery in February 2019.7 hours in lithotomy position. Postoperative period is complicated by rhabdomyolysis, renal insufficiency. Lower paraparesis. Now there is lower paraparesis and pain when standing up/ planting in the groin area and buttocks 6-9/10 any opinions?
 
Chronic inflammatory demyelinating polyneuropathy (CIDP) ☹️ I disagree, they do not take into account the damaging factor of positioning in the operating room
 
Are you looking for a cause or a treatment?

It sounds like a peripheral nerve injury/damage that can be treated.


It would have had to have been an AIDP that is now a CIDP based on the way you've presented it right? They can treat for A/CIDP if they think that's it, although that sounds like a weird presentation and I agree it's more likely damage to common peroneal and possibly roots of the lumbar/pelvic plexuses causing this pain pattern.

You can treat for chronic neuropathic pain of peripheral nerve origin.
 
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