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Recurrent obturator abscess with spontaneous expulsion of the mesh after transobturator tape operation

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Abstract

The transobturator tape operation has been the most popular method of SUI surgery worldwide owing to its low complication rate and high success rate. However, erosions and abscesses secondary to transobturator tape have been observed. Here we report a 36-year-old woman referred to our unit with fever, persistent swelling in the left groin, difficulty in walking, and a tape that came through the vagina, 4 years after the transobturator tape operation. She had a history of ischiorectal abscess and rectovaginal fistula. A recurrent obturator abscess with fistula formation and spontaneous expulsion of the mesh was diagnosed. The patient underwent antibiotic therapy, incision through the fistula tract, drainage of the abscess, and removal of the necrotic material. Patients should be informed about risks of erosion and infection and that pain and foul smelling vaginal discharge might be the first signs of severe infectious morbidities after transobturator tape operation.

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The patient’s consent was acquired for this study.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Istanbul Medical Faculty, Istanbul University, Atakoy 9. Kisim, B6 Blok Daire 40 Atakoy, 34156, Istanbul, Turkey

    Funda Gungor Ugurlucan, Mehmet Ozsurmeli, Halil Saygili & Onay Yalcin

  2. Department of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

    Baris Bakir

Authors
  1. Funda Gungor Ugurlucan
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  2. Mehmet Ozsurmeli
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  3. Baris Bakir
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  4. Halil Saygili
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  5. Onay Yalcin
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Corresponding author

Correspondence to Funda Gungor Ugurlucan.

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Ugurlucan, F.G., Ozsurmeli, M., Bakir, B. et al. Recurrent obturator abscess with spontaneous expulsion of the mesh after transobturator tape operation. Int Urogynecol J 24, 2153–2155 (2013). https://doi.org/10.1007/s00192-013-2076-0

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  • DOI: https://doi.org/10.1007/s00192-013-2076-0

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