Published in:
01-05-2017 | IUJ Video
Thigh exploration for excision of a transobturator sling
Published in: International Urogynecology Journal | Issue 5/2017
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Introduction and hypothesis
Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.
Methods
The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.
Results
A bilateral thigh exploration was completed with successful excision of all remaining mesh.
Conclusion
Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.