Introduction Stress urinary incontinence (SUi) is a common chronic condition that usually affects middle-aged women. Treatments have evolved over the years and, in 2001, a minimally invasive procedure, the outside-in transobturator (TOT) technique was developed. This involved the use of a synthetic sling for the reinforcement of the urethra. However, as all synthetic slings are foreign bodies, different types of erosions and infections have been described. We report the case of a late obturator abscess manifesting three years after a TOT sling procedure. A 44-year-old woman presented with SUI and urethral hypermobility without vaginal prolapse. Urodynamics confirmed SUI without detrusor overactivity. The patient underwent in 2004 a TOT procedure with Obtape (Mentor-Porges, Le Plessis Robinson, France), a thermally bonded, non-knitted, nonwoven polypropylene mesh. Perioperative antibiotic prophylaxis consisted in metronidazole. The procedure was carried out under spinal anaesthesia without complications and the patient was dismissed during the first postoperative day. Outpatient follow-up visits after six and 12 months revealed a complete resolution of SUI.
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