Martius graft for TOT extrusion: a case series
Alexander Mortimer1, Aethele Khunda2, Paul Ballard3
1Royal Victoria Infirmary, Newcastle-Upon-Tyne, NE1 4LP, UK. amortimer@doctors.org.uk.
International Urogynecology Journal
|August 8, 2015
Summary
The Martius graft effectively treated trans-obturator tape (TOT) extrusions in women, preserving tape function with minimal long-term issues. This case series suggests a promising approach for managing this complication.
Area of Science:
- Urology
- Gynecology
- Pelvic Reconstructive Surgery
Background:
- Management of mid-urethral tape extrusion remains inconsistent.
- This study presents a case series on using the Martius graft for trans-obturator tape (TOT) extrusion.
Purpose of the Study:
- To evaluate the efficacy and safety of the Martius graft for treating trans-obturator tape extrusion.
- To assess short and intermediate-term outcomes of this surgical intervention.
Main Methods:
- Retrospective case series of five women undergoing Martius graft for TOT extrusion.
- Data collected from case notes and postoperative reviews.
Main Results:
- All tape extrusions were successfully treated with the Martius graft, preserving tape function.
- No ipsilateral recurrence of tape extrusion or exposure was observed.
- Initial minor complications occurred, but long-term morbidity and cosmetic dissatisfaction were minimal.
Conclusions:
- The Martius graft is a promising treatment for trans-obturator tape extrusion.
- The procedure offers successful treatment with minimal long-term adverse effects.
- Further investigation in larger case series is warranted to strengthen evidence.
