Top

Journal of Medical Case Reports

Published in:

Open Access 01-12-2016 | Case report

Thigh abscess and necrotizing fasciitis following an inside-out transobturator tape intervention: a case report

Authors: Jad Kerbaj, Camille Aubry, Caroline Prost, Philippe Brouqui

Published in: Journal of Medical Case Reports | Issue 1/2016

Abstract

Background

Tension-free vaginal transobturator tapes are used worldwide in the treatment of urinary incontinence in women. Very few severe complications have been described following this procedure, with no standard treatment yet established.

Case presentation

We present the case of a 36-year-old French white woman with no remarkable medical history, presenting with an abscess and necrotizing fasciitis 48 hours after an inside-out tension-free transobturator procedure. Samples were collected by guided puncture from the abscess, retrieving Staphylococcus aureus and Citrobacter koseri.

Conclusions

Severe complications following this procedure are rare, although it can have the potential for significant morbidity and even mortality, which is worth highlighting. We recommend early surgical treatment in combination with broad-spectrum antibiotics and coverage for Staphylococcus aureus, which may be a causative agent.

Available only for authorised users

Zhang Z, Zhu L, Xu T, Lang J. Retropubic tension-free vaginal tape and inside-out transobturator tape: a long-term randomized trial. Int Urogynecol J. 2016;27(1):103–11.CrossRefPubMed

Scheiner DA, Betschart C, Wiederkehr S, Seifert B, Fink D, Perucchini D. Twelve months effect on voiding function of retropubic compared with outside-in and inside-out transobturator midurethral slings. Int Urogynecol J. 2012;23(2):197–206.CrossRefPubMed

Abdel-Fattah M, Ramsay I, Pringle S, Hardwick C, Ali H, Young D, et al. Evaluation of transobturator tension-free vaginal tapes in management of women with recurrent stress urinary incontinence. Urology. 2011;77(5):1070–5.CrossRefPubMed

Tommaselli GA, Di Carlo C, Formisano C, Fabozzi A, Nappi C. Medium-term and long-term outcomes following placement of midurethral slings for stress urinary incontinence: a systematic review and metaanalysis. Int Urogynecol J. 2015;26(9):1253–68.CrossRefPubMed

Tamussino K, Hanzal E, Kölle D, Tammaa A, Preyer O, Umek W, et al. Transobturator tapes for stress urinary incontinence: Results of the Austrian registry. Am J Obstet Gynecol. 2007;197(6):634. e1–5.CrossRefPubMed

Dyrkorn OA, Kulseng-Hanssen S, Sandvik L. TVT compared with TVT-O and TOT: results from the Norwegian National Incontinence Registry. Int Urogynecol J. 2010;21(11):1321–6.CrossRefPubMed

Collinet P, Ciofu C, Costa P, Cosson M, Deval B, Grise P, et al. The safety of the inside-out transobturator approach for transvaginal tape (TVT-O) treatment in stress urinary incontinence: French registry data on 984 women. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(5):711–5.CrossRefPubMed

Bozkurt M, Yumru AE, Salman S. Assessment of perioperative, early, and late postoperative complications of the inside-out transobturator tape procedure in the treatment of stress urinary incontinence. Clin Exp Obstet Gynecol. 2015;42(1):82–9.PubMed

Zumbé J, Porres D, Degiorgis P-L, Wyler S. Obturator and thigh abscess after transobturator tape implantation for stress urinary incontinence. Urol Int. 2008;81(4):483–5.CrossRefPubMed

10.

Haensel A, Naumann G, Höhle P, Rommens PM, Koelbl H. Osteomyelitis following a transobturator sling (TVT-O). BJOG. 2007;114(12):1577–9.CrossRefPubMed

11.

Flam F, Boijsen M, Lind F. Necrotizing fasciitis following transobturator tape treated by extensive surgery and hyperbaric oxygen. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(1):113–5.CrossRefPubMed

12.

Kim YW, Kim SM, Kim WT, Kim YJ, Yun SJ, Lee SC, et al. Acute and serious myositis with abscess in thigh muscle after transobturator tape implantation. Int Neurourol J. 2010;14(3):182.CrossRefPubMedPubMedCentral

13.

Rafii A, Jacob D, Deval B. Obturator abscess after transobturator tape for stress urinary incontinence. Obstet Gynecol. 2006;108(3 Pt 2):720–3.CrossRefPubMed

14.

Game X, Mouzin M, Vaessen C, Malavaud B, Sarramon J-P, Rischmann P. Obturator infected hematoma and urethral erosion following transobturator tape implantation. J Urol. 2004;171(4):1629.CrossRefPubMed

15.

Devaney B, Frawley G, Frawley L, Pilcher DV. Necrotising soft tissue infections: the effect of hyperbaric oxygen on mortality. Anaesth Intensive Care. 2015;43(6):685–92.PubMed

Title: Thigh abscess and necrotizing fasciitis following an inside-out transobturator tape intervention: a case report
Authors: Jad Kerbaj
Camille Aubry
Caroline Prost
Philippe Brouqui
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-016-0942-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Thigh abscess and necrotizing fasciitis following an inside-out transobturator tape intervention: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2016

Simvastatin-induced cognitive dysfunction: two case reports

Biatrial thrombi resembling myxoma regressed after prolonged anticoagulation in a patient with mitral stenosis: a case report

Nonpalpable testicular pure seminoma with elevated serum alpha-fetoprotein presenting with retroperitoneal metastasis: a case report

Concurrent colonic mucosa-associated lymphoid tissue lymphoma and adenoma diagnosed after a positive fecal occult blood test: a case report

Flank pseudohernia following posterior rib fracture: a case report

Isolated congenital complete heart block in a five-year-old seronegative girl born to a woman seropositive for human immunodeficiency virus: a case report