title: Necrotic fasciitis of the lateral muscle group of the thigh following outside-in transobturatory tape procedure.
abstract: OBJECTIVE
  Sling procedures are the preferred surgical treatment of stress urinary incontinence (SUI) due to their high success rate and low risk of complications.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynecology, Medical Faculty of Charles University and Faculty Hospital Hradec Kralove.
  
  
  METHODS
  Necrotic fasciitis is a rare infectious complication, the mortality of which varies by age and can reach 73% if untreated. We present a case of a rare yet serious complication, necrotic fasciitis (NF), of a lateral muscle group of the thigh following antiincontinence implantation. Polypropylene transobturatory midurethral outside-in tape (TOT) was inserted, and NF occurred shortly after surgery.
  
  
  CONCLUSIONS
  Effective treatment was based on a timely diagnosis, administration of wide-spectrum antibiotics, intensive care unit support, surgical treatment, and multidisciplinary cooperation. Timely initiation and adequate treatment are critical in preventing mortality.
authors.forename: O
authors.initials: O
authors.lastname: Dvořák
authors.forename: D
authors.initials: D
authors.lastname: Leško
authors.forename: J
authors.initials: J
authors.lastname: Kestřánek
mesh_terms: D005208:Fasciitis / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology*; D011183:Postoperative Complications; D053825:Suburethral Slings / Q000009:adverse effects*; D013848:Thigh; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: multidisciplinary approach; necrotising fasciitis TOT.