Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Urogynecology Journal
Published in: International Urogynecology Journal 3/2011

01-03-2011 | Case Report

Pre-ramus passage of inside–out transobturator sling

Author: Ted M. Roth

Published in: International Urogynecology Journal | Issue 3/2011

Login to get access

Abstract

Groin pain after transobturator tape is not uncommon. Differential diagnosis and treatment strategies are becoming elaborated in the literature. A patient presented with partial improvement in her stress incontinence and persistent groin and vulvar discomfort for 3 months after “inside–out” transobturator tape. The sling was removed secondary to malposition anterior to the inferior pubic ramus, i.e., a trans-vulvar passage. Her vulvar and groin complaints resolved. Recommendations are made to facilitate the “inside to out” transobturator dissection and trocar passage to prevent this complication.
Literature
1.
Roth TM (2007) Management of persistent groin pain after transobturator slings. Int Urogynecol J 18:1371–1373CrossRef
2.
Wolter CE, Starkman JS, Scarpero HM, Dmochowski RR (2008) Removal of transobturator midurethral sling for refractory thigh pain. Urology 72(2):461.e1–3CrossRefPubMed
3.
Bonnet P, Waltregny D, Reul O, de Leval J (2005) Transobturator vaginal tape inside out for the surgical treatment of female stress urinary incontinence: anatomical considerations. J Urol 173:1223–1228CrossRefPubMed
4.
Zahn CM, Siddique S, Hernandez S, Lockrow EG (2007) Anatomic comparison of two transobturator tape procedures. Obstet Gynecol 109(3):701–706CrossRefPubMed
5.
Richards SR, Balaloski SP (2006) Vulvar hematoma following a transobturator sling (TVT-O). Int Urogynecol J 17:672–673CrossRef
Metadata
Title
Pre-ramus passage of inside–out transobturator sling
Author
Ted M. Roth
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1290-2

Other articles of this Issue 3/2011

International Urogynecology Journal 3/2011 Go to the issue

Original Article

Correlates and predictors of patient satisfaction with drug therapy and combined drug therapy and behavioral training for urgency urinary incontinence in women

Original Article

Evaluation of safety and efficacy of single-incision mid-urethral short tape procedure (MiniArc™ tape) for stress urinary incontinence under local anaesthesia

Original Article

What patients think: patient-reported outcomes of retropubic versus trans-obturator mid-urethral slings for urodynamic stress incontinence—a multi-centre randomised controlled trial

Letter to the Editor

Scoring for determining effect of antimuscarinics

Original Article

Age and sexual activity are risk factors for mesh exposure following transvaginal mesh repair

Letter to the Editor

Measuring the effect of antimuscarinics in the bladder