Int Neurourol J.  2010 Oct;14(3):182-185.

Acute and Serious Myositis with Abscess in Thigh Muscle after Transobturator Tape Implantation

Affiliations
  • 1Department of Urology, Chungbuk National University College of Medicine, Cheongju, Korea. sjyun@chungbuk.ac.kr

Abstract

The complications of transobturator tape (TOT) were known as lower urinary tract injury, postoperative urinary retention, urge incontinence, vaginal erosion, and etc. A 63-year-old woman presented with new onset of severe pain, heating, and swelling of the left thigh and perineum. She had undergone TOT implantation for stress urinary incontinence (SUI) 4 days previously in an outside clinic. Painful left thigh swelling and skin erythema were noted on the physical examination. A computed tomography (CT) scan showed multiple, large left medial thigh and obturator abscesses. Removal of the implanted tape and abscess drainage were performed immediately and two additional operations were needed for proper abscess drainage. We believe this case to be one of the most serious complications to occur since the introduction of the TOT procedure. Here we report this case and discuss its initial management along with a review of the literature.

Keyword

Suburethral slings; Abscess myositis; Urinary stress incontinence

MeSH Terms

Abscess
Drainage
Erythema
Female
Heating
Hot Temperature
Humans
Middle Aged
Muscles
Myositis
Perineum
Physical Examination
Skin
Suburethral Slings
Thigh
Urinary Incontinence
Urinary Incontinence, Stress
Urinary Incontinence, Urge
Urinary Retention
Urinary Tract
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