Closing the chapter on obtape: a case report of delayed thigh abscess and a literature review.
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.
Geoffrion
Roxana
R
Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
Murphy
Magnus
M
Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
Mainprize
Tom
T
Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
Ross
Sue
S
Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
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