Abstract
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.
References
King AB, Tenggardjaja C, Goldman HB. Prospective evaluation of the effect of thigh dissection for removal of transobturator mid urethral slings on refractory thigh pain. J Urol. 2016;196:1207–12.
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Murphy, A.M., Goldman, H.B. Thigh exploration for excision of a transobturator sling. Int Urogynecol J 28, 793–794 (2017). https://doi.org/10.1007/s00192-017-3276-9
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DOI: https://doi.org/10.1007/s00192-017-3276-9