Abstract
The authors report the case of a perineal cellulitis occurring 10 months after the surgical treatment for stress urinary incontinence with a trans-obturator sub-urethral tape, Obtape® (Porgès). This is a very rare complication related to a prolonged intra-vaginal tape exposure and infection that occurs after vaginal erosion, possibly due to tape rejection. This complication has been described with Obtape® and with Uratape®. The former lacks a sub-urethral silicone coated section that distinguishes it from Uratape®. We still do not know much about the constituents of these types of sub-urethral tapes specially about their human tolerance, and we should therefore look at them carefully.
References
Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape®): A new minimally invasive procedure to treat female urinary incontinence. Eur Urol 45(2):203–207
Domingo S, Alamá P, Ruiz N, Perales A, Pellicer A (2005) Diagnosis, management and prognosis of vaginal erosion after transobturator suburethral tape procedure using a nonwoven thermally bonded polypropylene mesh. J Urol 173:1627–1630
Kobashi KC, Govier FE (2003) Management of vaginal erosion of polypropylene mesh slings. J Urol 169:2242–2243
Caquant F, Collinet P, Deruelle JP, Lucot M, Cosson M (2005) Perineal cellulitis following Trans-Obturator Sub-urethral Tape Uratape®. Eur Urol 47:108–110
Karram MM, Segal JL, Vassalo BJ, Kleeman SD (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstet Gynecol 101:929–932
Krause HG, Galloway SJ, Goh J, Khoo SK, Lourie R (2006) Biocompatible properties of surgical mesh using an animal model. Aust N Z J Obst Gynaecol 46:42–45
Hamilton Boyles S, Gregory WT, Clark A, Edwards SR (2005) Complications associated with trans-obturator sling procedures. Neurourol Urodyn 24(5/6):423–425
Nakib M, Garcia G, Bastide C, Tomatis L, Ragni E, Rossi D (2005) Management of serious infectious complications of transobturator suburethral tape: report of 2 cases. Prog Urol 15:707–709
Robert M, Murphy M, Birch C, Swaby C, Ross S (2006) Five cases of tape erosion after transobturator surgery for urinary incontinence. Obstet Gynecol 107(2):472–474
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):418–421
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Marques, A.L., Aparício, C. & Negrão, L. Perineal cellulitis as a late complication of trans-obturator sub-urethral tape, Obtape®. Int Urogynecol J 18, 821–822 (2007). https://doi.org/10.1007/s00192-006-0228-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-006-0228-1