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Small-pore polypropylene slings: still out there

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Abstract

We report on a case of a suburethral erosion of transobturator tape tracking into the right thigh with abscess formation 20 months from surgery resulting in necrotizing fasciitis. A 64-year-old woman presented with new onset of severe right thigh pain. Physical exam was concerning for a right thigh abscess and she was admitted to general surgery for evaluation. Gynecology was consulted secondary to a complaint of foul vaginal discharge. The patient was noted to have a vaginal mass on the anterior vaginal wall. A computed tomography scan showed a large right medial thigh abscess. The patient was taken for emergency exploratory surgery where an ObTape® (Mentor, Santa Barbara, CA, USA) TOT was found eroding through the anterior vaginal wall, extending into the thigh abscess. During removal of the ObTape® from her thigh, the entire gracilis muscle was removed due to necrotizing fasciitis and extensive tissue debridement was performed. A wound vac was placed and the patient had an uneventful recovery.

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References

  1. Latthe PM, Foon R, Toozs-Hobson P (2007) Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications. Bjog 114(5):522–531

    CAS  PubMed  Google Scholar 

  2. Boyles SH, Edwards R, Gregory W, Clark A (2007) Complications associated with transobturator sling procedures. Int Urogynecol J 18(1):19–22

    Article  Google Scholar 

  3. Yamada BS, Govier FE, Stefanovic KB, Kobashi KC (2006) High rate of vaginal erosions associated with the mentor ObTape. J Urol 176(2):651–654

    Article  PubMed  Google Scholar 

  4. Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173(4):1223–1228

    Article  PubMed  Google Scholar 

  5. Karsenty G, Boman J, Elzayat E, Lemieux MC, Corcos J (2007) Severe soft tissue infection of the thigh after vaginal erosion of transobturator tape for stress urinary incontinence. Int Urogynecol J 18(2):207–212

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, San Antonio Uniformed Services Health Education Consortium, 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX, 78234, USA

    William J. Lowery, Yashika Dooley & Edward Kost

Authors
  1. William J. Lowery
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  2. Yashika Dooley
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  3. Edward Kost
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Correspondence to William J. Lowery.

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Lowery, W.J., Dooley, Y. & Kost, E. Small-pore polypropylene slings: still out there. Int Urogynecol J 21, 125–127 (2010). https://doi.org/10.1007/s00192-009-0935-5

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  • DOI: https://doi.org/10.1007/s00192-009-0935-5

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