Complications of Transobturator Synthetic Slings

  • Melissa R. KaufmanEmail author
  • Laura Chang-Kit
  • Elizabeth T. Brown
  • Roger R. Dmochowski


Transobturator (TOT) placement of midurethral slings has demonstrated excellent efficacy similar to retropubic approaches with regard to treatment of female SUI; however, the TOT vector of implantation has also manifested a select and unique complication profiles. In addition to recognized complications of all midurethral slings, including mesh erosion, postoperative voiding dysfunction, and obstruction, intricacies of TOT placement and obturator foramen anatomy dictate individualized evaluation and management of complications. Indeed, de novo neurologic manifestations of thigh and groin pain mandate TOT-specific treatment strategies. Management of TOT complications are discussed in this book as the vaginal mesh kits use the same transobturator approach used for TOT slings and may require a some of the same approaches for removal.


Transobturator sling Female stress incontinence Mesh complications 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Melissa R. Kaufman
    • 1
    Email author
  • Laura Chang-Kit
    • 2
  • Elizabeth T. Brown
    • 3
  • Roger R. Dmochowski
    • 1
  1. 1.Department of Urology, Vanderbilt Medical CenterNashvilleUSA
  2. 2.Department of Urology, Albany Medical CenterAlbanyUSA
  3. 3.Department of Urology, MedStar Georgetown University HospitalWashington, DCUSA

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