Korean J Obstet Gynecol.  2012 Mar;55(3):201-205. 10.5468/KJOG.2012.55.3.201.

A case of treatment using skin flap of recurrent mesh erosion in transobturator tape

• Hong JH
• Choi SD
• Kim YS
• Sunwoo JG
• Bae DH
• Ahn HS

• KMID: 2274128
• DOI: http://doi.org/10.5468/KJOG.2012.55.3.201

Abstract

Transobturator tape (TOT) as one of midurethral slings is increasingly popular for the surgical treatment of stress urinary incontinence because of low complication rate and short operating time. Vaginal erosion after TOT is generally observed in 0.7%-1.3% of all cases. For preventing complications like vaginal erosion or infection after TOT, subtotal or total excision of mesh materials and use of broad-spectrum antibiotics are recommended. We report our experience with a case of treatment using skin flap and foreign body removal of recurrent mesh erosion in TOT.

Keyword

Transobturator tape; Mesh erosion; Stress urinary incontinence

MeSH Terms

Anti-Bacterial Agents
Foreign Bodies
Skin
Suburethral Slings
Urinary Incontinence
Anti-Bacterial Agents

Figure

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  Fig. 1 Disruption of operation wound after 28 days after removing tape and vaginal erosion.

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  Fig. 2 Skin Flap operation using rotation flap around the disrupted operation wound after second operation 5 days.

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  Fig. 3 The pelvic computed tomography showing about 1.9 cm sized low density A left outside and contrast enhanced its around areas B after second operation 5 days.

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  Fig. 4 Fourteen days after third operation.

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