PubMed · 14841441
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S S BEIRSTEIN, M J FEENEY. 1951. Urinary extravasation.. https://pubmed.ncbi.nlm.nih.gov/14841441/
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Acute extraocular muscle restriction in children is a rare condition; orbital myositis is the most common cause. Most neuropathic or myopathic causes of strabismus present as an incomitant deviation. We report a case of orbital cellulitis preceding acute comitant esotropia in a patient showing no evidence of myositis or neurologic pathology.
The authors report the case of a perineal cellulitis occurring 10 months after the surgical treatment for stress urinary incontinence with a trans-obturator sub-urethral tape, Obtape (Porgès). This is a very rare complication related to a prolonged intra-vaginal tape exposure and infection that occurs after vaginal erosion, possibly due to tape rejection. This complication has been described with Obtape and with Uratape. The former lacks a sub-urethral silicone coated section that distinguishes it from Uratape. We still do not know much about the constituents of these types of sub-urethral tapes specially about their human tolerance, and we should therefore look at them carefully.
Transobturator sub-urethral tapes are emerging as one of the surgical options for the management of urodynamic stress incontinence. Though with relatively less risk of injury to the bladder, a different approach as well as the different characteristics of the tape material mean a variety of complications like obturator abscess, obturator haematoma, retro-pubic haematoma, and perineal cellulitis. In this paper, we describe a case of perineal cellulitis following the insertion of a transobturator tape (Obtape). Though cellulitis was managed conservatively with intravenous antibiotics, the patient was found to have vaginal extrusion of the tape. Vaginal erosion was initially managed with resuturing of the vaginal wall. Persistent erosion unfortunately necessitated complete tape removal. The patient later had another sub-urethral procedure after 3 months. Perineal cellulitis is rare after transobturator tape procedures. In the literature, only two cases have been described so far. Though vaginal erosion can be managed conservatively, we recommend the complete removal of the tape when an infection is proven or suspected.