Unforeseen Complications: Cauda Equina Syndrome After Vaginoplasty Combined With Epidural Analgesia

Clinical Case Reports 2026 Open access

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Authors: Toni P. Seppälä, Kaisu Ojala
DOI: 10.1002/ccr3.71859
Cited by: 0
References: 13

Abstract

This case describes the first postoperative complication of cauda equina syndrome following gender affirmation surgery. Postoperatively, an epidural catheter was placed for pain management. Despite its intended benefits, the patient developed symptoms of cauda equina syndrome, a rare but serious neurological condition possibly related to epidural anesthesia and lithotomy position.

Fields of Study & Subjects

Anesthesia and Pain Management Intraoperative Neuromonitoring and Anesthetic Effects Spinal Hematomas and Complications

Publication details

Journal / source
Clinical Case Reports
Volume
14
Issue
1
Pages
e71859–e71859
Publication date
1 January 2026
Language
EN