Marsh Fiona, Rogerson Lynne
Academic Department of Obstetrics and Gynaecology, Gledhow Wing, St. James's University Hospital, Beckett Street, Leeds, United Kingdom.
Neurourol Urodyn. 2007;26(4):543-546. doi: 10.1002/nau.20239.
To report a case of groin abscess secondary to trans obturator tape erosion and review the literature on the incidence, predisposing factors, symptoms and management of tape erosion.
The clinical history, operative details, postoperative symptoms, findings and management of this case are reported. A thorough literature review of midurethral tape erosions and, in particular, transobturator tape erosions was performed.
A 46-year-old woman with urodynamic stress incontinence underwent trans obturator tape insertion. Eight weeks later she developed vaginal discharge and was subsequently diagnosed with a left lateral vaginal wall tape erosion. The eroded section was excised under general anaesthetic. Two weeks later she presented with a large right sided groin abscess which required incision, drainage and debridement of necrotic areas of gracillis and adductor muscles. Short term results following trans obturator tape insertion report excellent efficacy rates (90-96% after 1 year), however there is a lack of long term data on safety and efficacy. Current literature on transobturator tape erosion is scanty and reported rates range from 1.9-7% depending on the tape inserted. Tape erosion commonly presents with vaginal discharge, bleeding or dyspareunia and several methods of management have been reported including conservative management, excision of the eroded section or removal of the entire tape.
Groin abscess following tape erosion is a serious complication resulting in further surgery and months of morbidity for the woman. Prompt management of tape erosion is essential to minimise such complications and more data is required on the long term efficacy and safety of transobturator tapes.
报告一例经闭孔尿道中段吊带侵蚀继发腹股沟脓肿的病例，并回顾有关吊带侵蚀的发生率、易感因素、症状及处理的文献。
报告该病例的临床病史、手术细节、术后症状、检查结果及处理情况。对尿道中段吊带侵蚀，尤其是经闭孔吊带侵蚀进行了全面的文献回顾。
一名46岁患有尿动力学压力性尿失禁的女性接受了经闭孔尿道中段吊带植入术。八周后，她出现阴道分泌物，随后被诊断为左侧阴道壁吊带侵蚀。在全身麻醉下切除了侵蚀部分。两周后，她出现了一个右侧腹股沟大脓肿，需要切开引流，并对股薄肌和内收肌的坏死区域进行清创。经闭孔尿道中段吊带植入术的短期结果显示有效率极佳（1年后为90%-96%），然而，缺乏关于安全性和有效性的长期数据。目前关于经闭孔吊带侵蚀的文献较少，报道的发生率在1.9%-7%之间，具体取决于所植入的吊带。吊带侵蚀通常表现为阴道分泌物、出血或性交困难，已报道了几种处理方法，包括保守治疗、切除侵蚀部分或取出整条吊带。
吊带侵蚀后发生腹股沟脓肿是一种严重的并发症，会导致患者需要进一步手术，并经历数月的发病过程。及时处理吊带侵蚀对于将此类并发症降至最低至关重要，并且需要更多关于经闭孔吊带长期有效性和安全性的数据。
