OJOG  Vol.2 No.3 , September 2012
An early complication of Transobturator tape: Non-infective adductor internus myositis
Abstract: The transobturator tape (TOT) procedure is generally felt to be a safer surgical alternative to the ten sion-free vaginal tape procedure for women with stress urinary incontinence. We report a case of adductor internus myositis not associated with infection following the TOT procedure. To our knowledge this is the first case of this type reported in the literature. A 43 year old lady underwent a straightforward elective TOT procedure. There were no intraoperative complications. Immediately following the procedure she complained of pain in her right thigh. MRI confirmed abnormal oedema within the antero-inferior aspect of the right obturator internus muscle consistent with myositis secondary to tape insertion. The tape was removed the following day in theatre, following which her pain resolved. This case highlights a previously unreported complication as a result of the TOT procedure.
Cite this paper: Lucky, M. , Irwin, P. and Bicha, S. (2012) An early complication of Transobturator tape: Non-infective adductor internus myositis. Open Journal of Obstetrics and Gynecology, 2, 289-290. doi: 10.4236/ojog.2012.23061.

[1]   Karram, M.M., Segal, J.L., Vassallo, B.J. and Kleenman, S.D. (2003) Complications and untoward effects of the tension-free vaginal tape procedure. Obstetrics and Gynaecology, 101, 929-932. doi:10.1016/S0029-7844(03)00122-4

[2]   Barber, M.D., Gustilo-Ashby, A.M., Chen, C.C., Kaplan, P., Paraiso, M.F. and Walters, M.D. (2006) Perioperative complications and adverse events of the MONARC transobturator tape, compared with the tension-free vaginal tape. American Journal of Obstetrics & Gynecology, 195, 1820-1825. doi:10.1016/j.ajog.2006.07.007

[3]   De Souza, R., Shapiro, A. and Westney, O.L. (2007) Adductor brevis myositis following transobturator tape procedure: A case report and review of the literature. International Urogynecology Journal and Pelvic Floor Dysfunction, 18, 817-820. doi:10.1007/s00192-006-0220-9

[4]   Leanza, V., Garozzo, V., Accardi, M., Molino, A., Conco, M. and Basile, A. (2008) A late complication of transobturator tape: Abscess and myositis. Minerva Ginecologica, 60, 91-94.

[5]   Costa, P. and Grise, P. (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator tape (TOT) Uratape: Short term results of a prospective multicentric study. European Urology, 46, 102-107. doi:10.1016/j.eururo.2004.03.005