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Acute and Serious Myositis with Abscess in Thigh Muscle after Transobturator Tape Implantation

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초록

The complications of transobturator tape (TOT) were known as lower urinary tract injury, postoperative urinary retention, urge incontinence, vaginal erosion, and etc. A 63-year-old woman presented with new onset of severe pain, heating, and swelling of the left thigh and perineum. She had undergone TOT implantation for stress urinary incontinence (SUI) 4 days previously in an outside clinic. Painful left thigh swelling and skin erythema were noted on the physical examination. A computed tomography (CT) scan showed multiple, large left medial thigh and obturator abscesses. Removal of the implanted tape and abscess drainage were performed immediately and two additional operations were needed for proper abscess drainage. We believe this case to be one of the most serious complications to occur since the introduction of the TOT procedure. Here we report this case and discuss its initial management along with a review of the literature.

Abstract

The complications of transobturator tape (TOT) were known as lower urinary tract injury, postoperative urinary retention, urge incontinence, vaginal erosion, and etc. A 63-year-old woman presented with new onset of severe pain, heating, and swelling of the left thigh and perineum. She had undergone TOT implantation for stress urinary incontinence (SUI) 4 days previously in an outside clinic. Painful left thigh swelling and skin erythema were noted on the physical examination. A computed tomography (CT) scan showed multiple, large left medial thigh and obturator abscesses. Removal of the implanted tape and abscess drainage were performed immediately and two additional operations were needed for proper abscess drainage. We believe this case to be one of the most serious complications to occur since the introduction of the TOT procedure. Here we report this case and discuss its initial management along with a review of the literature.

참고문헌 (10)

  1. Delorme E, "Transobturator urethral suspension:mini-invasive procedure in the treatment of stress urinary incontinence in women", Prog Urol, 11, pp.1306~1313 (2001)
  2. Lowery WJ, "Small-pore polypropylene slings: still out there", Int Urogynecol J Pelvic Floor Dysfunct, 21, pp.125~127 (2010)
  3. Latthe PM, "Transobturator and retropubic tape procedures in stress urinary incontinence: a systematic review and meta-analysis of effectiveness and complications", BJOG, 114, pp.522~531 (2007)
  4. Rardin CR, "Recurrent thigh abscess with necrotizing fasciitis from a retained transobturator sling segment", J Minim Invasive Gynecol, 16, pp.84~87 (2009)
  5. Deval B, "Management of the complications of the synthetic slings", Curr Opin Urol, 16, pp.240~243 (2006)
  6. Deffieux X, "Prepubic and thigh abscess after successive placement of two suburethral slings", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.571~574 (2007)
  7. Bonnet P, "Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence:anatomical considerations", J Urol, 173, pp.1223~1228 (2005)
  8. Goldman HB, "Large thigh abscess after placement of synthetic transobturator sling", Int Urogynecol J Pelvic Floor Dysfunct, 17, pp.295~296 (2006)
  9. Rafii A, "Obturator abscess after transobturator tape for stress urinary incontinence", Obstet Gynecol, 108, pp.720~723 (2006)
  10. Zumbe J, "Obturator and thigh abscess after transobturator tape implantation for stress urinary incontinence", Urol Int, 81, pp.483~485 (2008)

관련 논문AI추천

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