Obturator abscess after transobturator tape for stress urinary incontinence

Arash Rafii Tabrizi, Denis Jacob, Bruno Deval

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

BACKGROUND: A transobturator tape is a nonwoven, thermally bonded polypropylene tape recently approved in Europe for minimally invasive treatment of stress urinary incontinence. CASE: Three cases of obturator abscess after transobturator tape procedures are reported. Patients presented with groin pain and vaginal discharge, and physical examination showed vaginal erosions. Magnetic resonance imaging confirmed the obturator abscess. All patients had complete sling removal and were treated with antibiotics. The organism responsible for the obturator abscess was Bacteroides fragilis in all three cases, suggesting that the infection occurred through a vaginal erosion. CONCLUSION: Persistent painful or irritating symptoms after suburethral tape procedures may be due to a vaginal erosion that can be associated with an obturator abscess. Appropriate evaluation and treatment result in marked symptomatic improvement, although stress incontinence may recur.

Original languageEnglish
Pages (from-to)720-723
Number of pages4
JournalObstetrics and Gynecology
Volume108
Issue number3 II
DOIs
Publication statusPublished - Sep 2006
Externally publishedYes

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Suburethral Slings
Stress Urinary Incontinence
Abscess
Vaginal Discharge
Bacteroides fragilis
Gynecological Examination
Groin
Polypropylenes
Physical Examination
Magnetic Resonance Imaging
Anti-Bacterial Agents
Pain
Therapeutics
Infection

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Obturator abscess after transobturator tape for stress urinary incontinence. / Tabrizi, Arash Rafii; Jacob, Denis; Deval, Bruno.

In: Obstetrics and Gynecology, Vol. 108, No. 3 II, 09.2006, p. 720-723.

Research output: Contribution to journalArticle

Tabrizi, Arash Rafii ; Jacob, Denis ; Deval, Bruno. / Obturator abscess after transobturator tape for stress urinary incontinence. In: Obstetrics and Gynecology. 2006 ; Vol. 108, No. 3 II. pp. 720-723.
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