Thigh exploration for excision of a transobturator sling
Alana M Murphy1, Howard B Goldman2
1Department of Urology, Thomas Jefferson University Hospital, 1025 Walnut Street Suite 1100, Philadelphia, PA, 19107, USA. alana.m.murphy.md@gmail.com.
Introduction And Hypothesis:
Groin pain is a known complication of transobturator mesh placement. The objective of this instructional video is to present the surgical technique used to excise the thigh portion of a sling in a patient with persistent thigh pain after placement of a transobturator sling.
Methods:
The featured patient is a 49-year-old woman with a history of bilateral groin pain since undergoing placement of a type one polypropylene transobturator sling. Because of persistent pain after removal of the vaginal portion of the sling, she elected to undergo a bilateral thigh dissection to remove the remaining transobturator mesh arms 14 months after her initial surgery.
Results:
A bilateral thigh exploration was completed with successful excision of all remaining mesh.
Conclusion:
Thigh exploration performed in a systematic fashion is a feasible option for transobturator mesh excision even when the vaginal component of the sling has been previously excised.
