A three-incision approach to treat persistent vaginal exposure and sinus tract formation related to ObTape mesh insertion

John A. Occhino, Elizabeth R. Casiano, Emanuel C. Trabuco, Christopher J. Klingele

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)1307-1309
Number of pages3
JournalInternational Urogynecology Journal
Volume23
Issue number9
DOIs
StatePublished - Sep 2012
Externally publishedYes

Keywords

  • Granulation tissue
  • Operative
  • Surgical mesh
  • Surgical procedures
  • Transobturator suburethral tape

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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