Perineal cellulitis and persistent vaginal erosion after transobturator tape (Obtape) - case report and review of the literature

Kanapathippillai Sivanesan, Mohamed Abdel-Fattah, John Tierney

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Transobturator sub-urethral tapes are emerging as one of the surgical options for the management of urodynamic stress incontinence. Though with relatively less risk of injury to the bladder, a different approach as well as the different characteristics of the tape material mean a variety of complications like obturator abscess, obturator haematoma, retro-pubic haematoma, and perineal cellulitis. In this paper, we describe a case of perineal cellulitis following the insertion of a transobturator tape (Obtape). Though cellulitis was managed conservatively with intravenous antibiotics, the patient was found to have vaginal extrusion of the tape. Vaginal erosion was initially managed with resuturing of the vaginal wall. Persistent erosion unfortunately necessitated complete tape removal. The patient later had another sub-urethral procedure after 3 months. Perineal cellulitis is rare after transobturator tape procedures. In the literature, only two cases have been described so far. Though vaginal erosion can be managed conservatively, we recommend the complete removal of the tape when an infection is proven or suspected.
Original languageEnglish
Pages (from-to)219-221
Number of pages3
JournalInternational Urogynecology Journal
Volume18
Issue number2
Early online date26 Jul 2006
DOIs
Publication statusPublished - Feb 2007

Fingerprint

Suburethral Slings
Cellulitis
Hematoma
Urodynamics
Abscess
Urinary Bladder
Anti-Bacterial Agents
Wounds and Injuries
Infection

Keywords

  • cellulitis
  • female
  • humans
  • middle aged
  • perineum
  • prosthesis failure
  • reoperation
  • suburethral slings
  • urinary incontinence, stress
  • vaginal diseases

Cite this

Perineal cellulitis and persistent vaginal erosion after transobturator tape (Obtape) - case report and review of the literature. / Sivanesan, Kanapathippillai; Abdel-Fattah, Mohamed; Tierney, John.

In: International Urogynecology Journal, Vol. 18, No. 2, 02.2007, p. 219-221.

Research output: Contribution to journalArticle

@article{257ba6ec2f5d40ca9666edb23d788fe2,
title = "Perineal cellulitis and persistent vaginal erosion after transobturator tape (Obtape) - case report and review of the literature",
abstract = "Transobturator sub-urethral tapes are emerging as one of the surgical options for the management of urodynamic stress incontinence. Though with relatively less risk of injury to the bladder, a different approach as well as the different characteristics of the tape material mean a variety of complications like obturator abscess, obturator haematoma, retro-pubic haematoma, and perineal cellulitis. In this paper, we describe a case of perineal cellulitis following the insertion of a transobturator tape (Obtape). Though cellulitis was managed conservatively with intravenous antibiotics, the patient was found to have vaginal extrusion of the tape. Vaginal erosion was initially managed with resuturing of the vaginal wall. Persistent erosion unfortunately necessitated complete tape removal. The patient later had another sub-urethral procedure after 3 months. Perineal cellulitis is rare after transobturator tape procedures. In the literature, only two cases have been described so far. Though vaginal erosion can be managed conservatively, we recommend the complete removal of the tape when an infection is proven or suspected.",
keywords = "cellulitis, female, humans, middle aged, perineum, prosthesis failure, reoperation, suburethral slings, urinary incontinence, stress, vaginal diseases",
author = "Kanapathippillai Sivanesan and Mohamed Abdel-Fattah and John Tierney",
year = "2007",
month = "2",
doi = "10.1007/s00192-006-0118-6",
language = "English",
volume = "18",
pages = "219--221",
journal = "International Urogynecology Journal",
issn = "0937-3462",
publisher = "SPRINGER-VERLAG LONDON LTD",
number = "2",

}

TY - JOUR

T1 - Perineal cellulitis and persistent vaginal erosion after transobturator tape (Obtape) - case report and review of the literature

AU - Sivanesan, Kanapathippillai

AU - Abdel-Fattah, Mohamed

AU - Tierney, John

PY - 2007/2

Y1 - 2007/2

N2 - Transobturator sub-urethral tapes are emerging as one of the surgical options for the management of urodynamic stress incontinence. Though with relatively less risk of injury to the bladder, a different approach as well as the different characteristics of the tape material mean a variety of complications like obturator abscess, obturator haematoma, retro-pubic haematoma, and perineal cellulitis. In this paper, we describe a case of perineal cellulitis following the insertion of a transobturator tape (Obtape). Though cellulitis was managed conservatively with intravenous antibiotics, the patient was found to have vaginal extrusion of the tape. Vaginal erosion was initially managed with resuturing of the vaginal wall. Persistent erosion unfortunately necessitated complete tape removal. The patient later had another sub-urethral procedure after 3 months. Perineal cellulitis is rare after transobturator tape procedures. In the literature, only two cases have been described so far. Though vaginal erosion can be managed conservatively, we recommend the complete removal of the tape when an infection is proven or suspected.

AB - Transobturator sub-urethral tapes are emerging as one of the surgical options for the management of urodynamic stress incontinence. Though with relatively less risk of injury to the bladder, a different approach as well as the different characteristics of the tape material mean a variety of complications like obturator abscess, obturator haematoma, retro-pubic haematoma, and perineal cellulitis. In this paper, we describe a case of perineal cellulitis following the insertion of a transobturator tape (Obtape). Though cellulitis was managed conservatively with intravenous antibiotics, the patient was found to have vaginal extrusion of the tape. Vaginal erosion was initially managed with resuturing of the vaginal wall. Persistent erosion unfortunately necessitated complete tape removal. The patient later had another sub-urethral procedure after 3 months. Perineal cellulitis is rare after transobturator tape procedures. In the literature, only two cases have been described so far. Though vaginal erosion can be managed conservatively, we recommend the complete removal of the tape when an infection is proven or suspected.

KW - cellulitis

KW - female

KW - humans

KW - middle aged

KW - perineum

KW - prosthesis failure

KW - reoperation

KW - suburethral slings

KW - urinary incontinence, stress

KW - vaginal diseases

U2 - 10.1007/s00192-006-0118-6

DO - 10.1007/s00192-006-0118-6

M3 - Article

VL - 18

SP - 219

EP - 221

JO - International Urogynecology Journal

JF - International Urogynecology Journal

SN - 0937-3462

IS - 2

ER -