title: Recurrent obturator abscess with spontaneous expulsion of the mesh after transobturator tape operation.
abstract: The transobturator tape operation has been the most popular method of SUI surgery worldwide owing to its low complication rate and high success rate. However, erosions and abscesses secondary to transobturator tape have been observed. Here we report a 36-year-old woman referred to our unit with fever, persistent swelling in the left groin, difficulty in walking, and a tape that came through the vagina, 4 years after the transobturator tape operation. She had a history of ischiorectal abscess and rectovaginal fistula. A recurrent obturator abscess with fistula formation and spontaneous expulsion of the mesh was diagnosed. The patient underwent antibiotic therapy, incision through the fistula tract, drainage of the abscess, and removal of the necrotic material. Patients should be informed about risks of erosion and infection and that pain and foul smelling vaginal discharge might be the first signs of severe infectious morbidities after transobturator tape operation.
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Medical Faculty, Istanbul University, Atakoy 9. Kisim, B6 Blok Daire 40 Atakoy, 34156, Istanbul, Turkey, fgungor@yahoo.com.
authors.forename: Funda Gungor
authors.initials: FG
authors.lastname: Ugurlucan
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ozsurmeli
authors.forename: Baris
authors.initials: B
authors.lastname: Bakir
authors.forename: Halil
authors.initials: H
authors.lastname: Saygili
authors.forename: Onay
authors.initials: O
authors.lastname: Yalcin
mesh_terms: D018784:Abdominal Abscess / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D011475:Prosthesis Failure / Q000009:adverse effects*; D012008:Recurrence; D053825:Suburethral Slings / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D014624:Vaginal Fistula / Q000209:etiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents