Severe Thigh Abscess Two Years after Transobturator Sling Operation

Area of Science:

• Urogynecology
• Minimally Invasive Surgery
• Surgical Complications

Background:

• Tension-free vaginal tape (TVT) and transobturator tape (TOT) are popular surgical options for stress urinary incontinence.
• While generally safe, TOT procedures carry risks, including rare but serious complications if not performed correctly.

Purpose of the Study:

• To report a rare case of thigh abscess formation following a transobturator tape (TOT) procedure.
• To highlight the diagnostic and management approach for this uncommon complication.

Main Methods:

• A 45-year-old female presented with thigh pain and swelling, diagnosed via MRI as an abscess.
• Surgical exploration initially failed to locate the mesh; urologic consultation identified it in the vaginal wall.
• The patient underwent mesh excision for treatment.

Main Results:

• The patient experienced significant improvement in thigh pain and swelling post-excision.
• Complete resolution of symptoms was achieved after the removal of the transobturator tape mesh.

Conclusions:

• Mesh removal is an effective treatment for thigh abscess secondary to transobturator tape (TOT) placement.
• Informed consent discussing potential complications, including abscess formation, is crucial for patients undergoing TOT surgery.