A three-incision approach to treat persistent vaginal exposure and sinus tract formation related to ObTape mesh insertion.
Mentor Corporation's ObTape has been associated with considerable morbidity. An unacceptably high exposure rate has been noted, and in some cases, multiple procedures may be necessary for complete mesh removal. We evaluated a patient who had prior ObTape placement complicated with persistent vaginal discharge and granulation tissue formation related to persistent mesh exposure (3Bc-T2-S2) followed by sinus tract formation (6Cd-T3-S3) according to the International Urogynecological Association Classification. We performed a three-incision approach (abdominal, vaginal, and groin) for the complete removal of the retained portion of the transobturator tape. This three-incision technique represents a viable option for removal of transobturator tape causing persistent clinical issues.
Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
John A
JA
Occhino
Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Elizabeth R
ER
Casiano
Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
Emanuel C
EC
Trabuco
Division of Gynecologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. klingele.christopher@mayo.edu.
Christopher J
CJ
Klingele
Granulation tissue; Operative; Surgical mesh; Surgical procedures; Transobturator suburethral tape