Small-pore polypropylene slings: Still out there

William J. Lowery, Yashika Dooley, Edward Kost

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)125-127
Number of pages3
JournalInternational Urogynecology Journal
Volume21
Issue number1
DOIs
StatePublished - Jan 2010
Externally publishedYes

Keywords

  • Mentor Ob Tape®
  • Midurethral sling
  • Necrotizing fasciitis
  • TOT erosion
  • Transobturator tape

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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