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Published in: International Urogynecology Journal 4/2006

01-08-2006 | Case Report

Vaginal erosion, sinus formation, and ischiorectal abscess following transobturator tape: ObTape implantation

Authors: Ebenezer O. Babalola, Abimbola O. Famuyide, Lois J. McGuire, John B. Gebhart, Christopher J. Klingele

Published in: International Urogynecology Journal | Issue 4/2006

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Abstract

A 50-year-old woman was referred for evaluation with an 8-month history of intermittent malodorous vaginal discharge initially noted 2 months after placement of a transobturator tape for stress urinary incontinence. Evaluation revealed erosion of the tape through the vaginal wall with a sinus tract associated with an ischiorectal abscess. Surgical removal of the tape with excision of the sinus tract, drain placement, and antibiotic therapy was needed for complete resolution of the symptoms. Infectious complications need to be considered when counseling women prior to synthetic sling placement. A high index of suspicion, meticulous sub- and periurethral inspection, along with aggressive surgical management are required to treat an infected draining abscess following synthetic transobturator sling placement.
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Metadata
Title
Vaginal erosion, sinus formation, and ischiorectal abscess following transobturator tape: ObTape implantation
Authors
Ebenezer O. Babalola
Abimbola O. Famuyide
Lois J. McGuire
John B. Gebhart
Christopher J. Klingele
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2006
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-005-0005-6

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