BACKGROUND: Before introducing the transobturator tape into our practice we undertook 52 transobturator tape procedures. The transobturator tape procedures were undertaken with an “outside-in”approach, using nonwove...BACKGROUND: Before introducing the transobturator tape into our practice we undertook 52 transobturator tape procedures. The transobturator tape procedures were undertaken with an “outside-in”approach, using nonwoven polypropylene mesh with average pore size of 50 μm. CASES: Five cases of vaginal erosions have been identified, 1 complicated by a groin abscess. All cases required further procedures to trim(n=3), resect(n=1) or remove(n=1) the tape. One woman had a tension-free vaginal tape procedure. To date, 3 women remain incontinent. CONCLUSION: Possible reasons for the complications in-clude 1) surgical inexperience(unlikely, given that we have undertaken more than 2000 tension-free vaginal tape procedures without similar complication rates); 2) inherent susceptibility of the “hammock”position of the transobturator tape; or 3) the nonwoven polypropylene tape with mesh size of 50 μm itself may predispose to erosion or abscess.展开更多
文摘BACKGROUND: Before introducing the transobturator tape into our practice we undertook 52 transobturator tape procedures. The transobturator tape procedures were undertaken with an “outside-in”approach, using nonwoven polypropylene mesh with average pore size of 50 μm. CASES: Five cases of vaginal erosions have been identified, 1 complicated by a groin abscess. All cases required further procedures to trim(n=3), resect(n=1) or remove(n=1) the tape. One woman had a tension-free vaginal tape procedure. To date, 3 women remain incontinent. CONCLUSION: Possible reasons for the complications in-clude 1) surgical inexperience(unlikely, given that we have undertaken more than 2000 tension-free vaginal tape procedures without similar complication rates); 2) inherent susceptibility of the “hammock”position of the transobturator tape; or 3) the nonwoven polypropylene tape with mesh size of 50 μm itself may predispose to erosion or abscess.
