title: Closing the chapter on obtape: a case report of delayed thigh abscess and a literature review.
abstract: BACKGROUND
  We report a case of delayed abscess formation 33 months after Obtape transobturator tape insertion, and we review the relevant literature.
  
  
  METHODS
  A 73-year-old woman presented with groin pain, swelling, and purulent discharge 33 months after Obtape insertion. Examination showed a vaginal erosion and right groin abscess. Oral antibiotics resulted in significant symptomatic improvement. The patient underwent complete tape removal and drainage of infection. She continues to suffer from urinary incontinence.
  
  
  CONCLUSIONS
  Abscess formation and undiagnosed mesh erosion can occur up to 33 months after Obtape insertion, longer than previous reports have described. This highlights the need for continued vigilance in patients who have undergone Obtape insertion. Vaginal mesh erosions warrant careful repair in order to avoid delayed infectious complications.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
authors.forename: Roxana
authors.initials: R
authors.lastname: Geoffrion
authors.affiliation: Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
authors.forename: Magnus
authors.initials: M
authors.lastname: Murphy
authors.affiliation: Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
authors.forename: Tom
authors.initials: T
authors.lastname: Mainprize
authors.affiliation: Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
authors.forename: Sue
authors.initials: S
authors.lastname: Ross
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000601:surgery; D000368:Aged; D020878:Device Removal; D005260:Female; D006801:Humans; D053825:Suburethral Slings / Q000009:adverse effects*; D013848:Thigh; D013997:Time Factors; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery