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Int Neurourol J > Volume 14(3); 2010 > Article
International Neurourology Journal 2010;14(3): 182-185.
DOI: https://doi.org/10.5213/inj.2010.14.3.182   
Acute and Serious Myositis with Abscess in Thigh Muscle after Transobturator Tape Implantation.
Young Won Kim, Sung Min Kim, Won Tae Kim, Yong June Kim, Seok Joong Yun, Sang Cheol Lee, Wun Jae Kim
Department of Urology, Chungbuk National University College of Medicine, Cheongju, Korea. sjyun@chungbuk.ac.kr
ABSTRACT
The complications of transobturator tape (TOT) were known as lower urinary tract injury, postoperative urinary retention, urge incontinence, vaginal erosion, and etc. A 63-year-old woman presented with new onset of severe pain, heating, and swelling of the left thigh and perineum. She had undergone TOT implantation for stress urinary incontinence (SUI) 4 days previously in an outside clinic. Painful left thigh swelling and skin erythema were noted on the physical examination. A computed tomography (CT) scan showed multiple, large left medial thigh and obturator abscesses. Removal of the implanted tape and abscess drainage were performed immediately and two additional operations were needed for proper abscess drainage. We believe this case to be one of the most serious complications to occur since the introduction of the TOT procedure. Here we report this case and discuss its initial management along with a review of the literature.
Keywords: Suburethral slings; Abscess myositis; Urinary stress incontinence
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Official Journal of Korean Continence Society & ESSIC (International Society for the Study of BPS) & Korean Society of Urological Research & The Korean Children’s Continence and Enuresis Society & The Korean Association of Urogenital Tract Infection and Inflammation & Korean Society of Geriatric Urological Care
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