We report the first 3 cases of femoral nerve neuropathy after a psoas
hitch vesicopexy, a technique commonly used with ureteroneocystostomy.
The condition in 2 patients resolved with conservative therapy, and t
he third patient required reoperation with removal of an offending sut
ure. All 3 patients recovered completely with no residual neurologic d
eficit. Urologists who use the psoas hitch must be familiar with this
potential complication to prevent its occurrence.