title: Thigh exploration for excision of a transobturator sling.
abstract: OBJECTIVE
  Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.
  
  
  METHODS
  The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.
  
  
  RESULTS
  A bilateral thigh exploration was completed with successful excision of all remaining mesh.
  
  
  CONCLUSIONS
  Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, 1025 Walnut Street Suite 1100, Philadelphia, PA, 19107, USA. alana.m.murphy.md@gmail.com.
authors.forename: Alana M
authors.initials: AM
authors.lastname: Murphy
authors.affiliation: Section of Female Pelvic Medicine and Reconstructive Surgery, Glickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Howard B
authors.initials: HB
authors.lastname: Goldman
mesh_terms: D020878:Device Removal / Q000379:methods*; D005260:Female; D006119:Groin; D006801:Humans; D008875:Middle Aged; D010146:Pain / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*; D013848:Thigh / Q000601:surgery*
keywords: Mesh complication; Pelvic pain; Stress urinary incontinence