This case reports postoperative cauda equina syndrome after gender affirmation surgery, suggesting significant risks with epidural analgesia.
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.
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Seppälä et al. (2026) studied this question.
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