Introduction and hypothesis
Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.
The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.
A bilateral thigh exploration was completed with successful excision of all remaining mesh.
Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.
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King AB, Tenggardjaja C, Goldman HB. Prospective evaluation of the effect of thigh dissection for removal of transobturator mid urethral slings on refractory thigh pain. J Urol. 2016;196:1207–12.
Conflicts of interest
Written informed consent was obtained from the patient for publication of this video article and any accompanying images.
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Murphy, A.M., Goldman, H.B. Thigh exploration for excision of a transobturator sling. Int Urogynecol J 28, 793–794 (2017). https://doi.org/10.1007/s00192-017-3276-9
- Stress urinary incontinence
- Pelvic pain
- Mesh complication