Bilateral recurrent thigh abscesses for five years after a transobturator tape implantation for stress urinary incontinence.
The synthetic, tension-free midurethral sling procedure using transobturator tape (TOT) was introduced in 2001 and has become the most widely used procedure for the treatment of female urinary incontinence worldwide. However, infectious complications associated with erosions have occasionally been reported because of a foreign body reaction to the polypropylene mesh. We observed a case of a bilateral recurrent thigh abscess manifesting 5 years after a TOT sling procedure. The patient had recurrent thigh abscesses with repeated incisions and drainages in the past 1 year. Five months earlier, she had undergone a procedure to remove the eroded suburethral mesh, but incompletely. The right thigh abscess recurred, and ultimately the residual mesh was completely excised with abscess drainage. Complete mesh removal is very important to prevent abscess recurrence, and it is necessary for any urologist treating women who have undergone the TOT procedure to be aware of the possibility of abscesses occurring for a long time after the operation.
Lee
Shin Young
SY
Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea.
Kim
Joon Young
JY
Park
Se Joon
SJ
Kwon
Yong Wook
YW
Nguyen
Hoai Bac
HB
Chang
In Ho
IH
Kim
Tae Hyoung
TH
Kim
Young Sun
YS