Pre-ramus passage of inside-out transobturator sling

被引:1
|
作者
Roth, Ted M. [1 ,2 ]
机构
[1] Cent Maine Med Ctr, Womens Specialty Ctr, Lewiston, ME 04240 USA
[2] Cent Maine Med Ctr, Bladder Control Ctr, Lewiston, ME 04240 USA
关键词
Transobturator tape; Tension-free vaginal tape; Pain; Stress urinary incontinence;
D O I
10.1007/s00192-010-1290-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:371 / 372
页数:2
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