Abstract
Mentor Corporation’s ObTape has been associated with considerable morbidity. An unacceptably high exposure rate has been noted, and in some cases, multiple procedures may be necessary for complete mesh removal. We evaluated a patient who had prior ObTape placement complicated with persistent vaginal discharge and granulation tissue formation related to persistent mesh exposure (3Bc-T2-S2) followed by sinus tract formation (6Cd-T3-S3) according to the International Urogynecological Association Classification. We performed a three-incision approach (abdominal, vaginal, and groin) for the complete removal of the retained portion of the transobturator tape. This three-incision technique represents a viable option for removal of transobturator tape causing persistent clinical issues.
References
Haylen BT, Freeman RM, Swift S, Cosson M, Davila GW, Deprest J, Dwyer PL, Fatton B, Kocjancic E, Lee J, Maher C, Rizk D, Petri E, Sand P, Schaer GN, Webb R (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes, and grafts in female pelvic floor surgery. Int Urogynecol J Pelvic Floor Dysfunct 22(1):3–15
Yamada BS, Govier FE, Stefanovic KB, Kobashi KC (2006) High rate of vaginal erosions associated with the mentor ObTape. J Urol 176(2):651–4
Babalola EO, Famuyide AO, McGuire LJ, Gebhart JB, Klingele CJ (2006) Vaginal erosion, sinus formation, and ischiorectal abscess following transobturator tape: ObTape implantation. Int Urogynecol J Pelvic Floor Dysfunct 17(4):418–21
DeSouza R, Shapiro A, Westney OL (2007) Adductor brevis myositis following transobturator tape procedure: a case report and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct 18(7):817–20
Game X, Mouzin M, Vaessen C, Malavaud B, Sarramon JP, Rischmann P (2004) Obturator infected hematoma and urethral erosion following transobturator tape implantation. J Urol 171(4):1629
Gruber DD, Hernandez SL, Wright J Jr, Fischer JR (2011) Transobturator tape removal using a combined vaginal–transcutaneous approach for intractable groin pain. Female Pelvic Med Reconstr Surg 17(1):55–7
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Occhino, J.A., Casiano, E.R., Trabuco, E.C. et al. A three-incision approach to treat persistent vaginal exposure and sinus tract formation related to ObTape mesh insertion. Int Urogynecol J 23, 1307–1309 (2012). https://doi.org/10.1007/s00192-012-1664-8
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DOI: https://doi.org/10.1007/s00192-012-1664-8