A case of treatment using skin flap of recurrent mesh erosion in transobturator tape.

Hong, Jung Hee; Choi, Seung Do; Kim, Yun Sook; Sunwoo, Jae Gun; Bae, Dong Han; Ahn, Hyung Sik

doi:2012.55.3.201

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(3):201-205.
DOI: https://doi.org/10.5468/KJOG.2012.55.3.201 Published online March 1, 2012.

A case of treatment using skin flap of recurrent mesh erosion in transobturator tape.

Jung Hee Hong, Seung Do Choi, Yun Sook Kim, Jae Gun Sunwoo, Dong Han Bae, Hyung Sik Ahn

¹Department of Obstetric and Gynecology, Soonchunhyang Chunan Hospital, Soonchunhyang University College of Medicine, Chunan, Korea. jgsunwoo@schmc.ac.kr
²Department of Plastic and Reconstructive Surgery, Soonchunhyang Chunan Hospital, Soonchunhyang University College of Medicine, Chunan, Korea.

Abstract

Transobturator tape (TOT) as one of midurethral slings is increasingly popular for the surgical treatment of stress urinary incontinence because of low complication rate and short operating time. Vaginal erosion after TOT is generally observed in 0.7%-1.3% of all cases. For preventing complications like vaginal erosion or infection after TOT, subtotal or total excision of mesh materials and use of broad-spectrum antibiotics are recommended. We report our experience with a case of treatment using skin flap and foreign body removal of recurrent mesh erosion in TOT.

Key Words: Transobturator tape, Mesh erosion, Stress urinary incontinence