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Vaginal Erosions After Transobturator Suburethral Tape

Lazarou, George MD; Powers, Kenneth MD; Wang, Andrea MD; Mikhail, Magdy S. MD

Journal of Pelvic Medicine and Surgery: November-December 2005 - Volume 11 - Issue 6 - p 297-301
doi: 10.1097/01.spv.0000190889.96975.bd
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The transobturator tape (TOT) is gaining popularity as a new method of treatment of women with stress urinary incontinence. It is a minimally invasive procedure that is effective with low intraoperative rates. In our series, 13 consecutive women were operated using the TOT ObTape. Consequently, 4 cases (31%) of delayed vaginal wall erosions were noted months after surgery in our patients. All erosions were located in the midline at the central part of the vaginal incision. Histologic evaluation suggested poor tissue ingrowth and chronic local infection. Furthermore, all patients failed conservative management and required surgical exploration and resection of the exposed tape. Further investigation is warranted to evaluate this unacceptably high vaginal erosion rate with ObTape found in our series.

The use of ObTape was associated with an unacceptably high delayed vaginal erosion rate.

From the Division of Urogynecology/Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.

Reprints: George Lazarou, MD, Assistant Professor, Division of Urogynecology /Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology and Women's Health, Albert Einstein College of Medicine/Montefiore Medical Center, 3332 Rochambeau Ave., Bronx, NY 10467. E-mail: glazarou@montefiore.org.

© 2005 Lippincott Williams & Wilkins, Inc.