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01-04-2020 | Silicone | IUJ Video

Radical excision of a complicated transobturator tape

Authors: Themos Grigoriadis, Dimitrios Zacharakis, Vasileios Kontogeorgakos, Athanasios Protopapas, Nikistratos Vogiatzis, Stavros Athanasiou

Published in: International Urogynecology Journal | Issue 4/2020

Abstract

Aim of the video

In this video, we present the case of a late-detected sinus formation 4 years after a TOT placement.

Method

A combined surgical approach (transvaginal and transcutaneous routes) performed by a urogynecologist and an orthopaedic surgeon was chosen to carry out a radical en bloc excision of the sinus tract with the right half of the tape. This combined approach has the advantage of completely removing the biofilm adhered to the surface of the tape and the surrounding tissues, thus making antibiotic therapy more effective.

Conclusion

Surgical removal of these microbial commmunities is very important for the resolution of device-related infections. Severe infectious complications of transobturator slings should be managed by a tertiary multidisciplinary team to optimize patient care.

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Nager C, Tulikangas P, Milder D, Rovner E, Goldman HB. Position statement on mesh midurethral slings for stress urinary incontinence. Female Pelvic Med Reconstr Surg. 2014;20:123–5.CrossRef

Novara G, Galfano A, Boscolo-Berto R, Secco S, Cavalleri S, Ficarra V, et al. Complication rates of tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials comparing tension-free midurethral tapes to other surgical procedures and different devices. Eur Urol. 2008;53:288–308.CrossRef

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

Duckett JR, Constantine G. Complications of silicone sling insertion for stress urinary incontinence. J Urol. 2000;163:1835–7.CrossRef

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;20:113–5.CrossRef

Percival SL. Importance of biofilm formation in surgical infection. Br J Surg. 2017;104:e85–94.CrossRef

Title: Radical excision of a complicated transobturator tape
Authors: Themos Grigoriadis
Dimitrios Zacharakis
Vasileios Kontogeorgakos
Athanasios Protopapas
Nikistratos Vogiatzis
Stavros Athanasiou
Publication date: 01-04-2020
Publisher: Springer International Publishing
Keywords: Silicone
Antibiotic
Stress Incontinence
Published in: International Urogynecology Journal / Issue 4/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-019-04127-0

At a glance: The STEP trials

Springer Medicine

Radical excision of a complicated transobturator tape

Abstract

Aim of the video

Method

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Aim of the video

Method

Conclusion

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