Erschienen in:
01.03.2011 | Case Report
Pre-ramus passage of inside–out transobturator sling
verfasst von:
Ted M. Roth
Erschienen in:
International Urogynecology Journal
|
Ausgabe 3/2011
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Abstract
Groin pain after transobturator tape is not uncommon. Differential diagnosis and treatment strategies are becoming elaborated in the literature. A patient presented with partial improvement in her stress incontinence and persistent groin and vulvar discomfort for 3 months after “inside–out” transobturator tape. The sling was removed secondary to malposition anterior to the inferior pubic ramus, i.e., a trans-vulvar passage. Her vulvar and groin complaints resolved. Recommendations are made to facilitate the “inside to out” transobturator dissection and trocar passage to prevent this complication.