A late complication of transobturator tape procedure: vaginocutaneous fistula formation with vaginal mesh erosion

Karabulut, Aysun Bay; Demitaş, Ömer; Gök, Soner

doi:10.1007/s00192-013-2193-9

Cited by 8 publications

(6 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment of urinary incontinence in the last decade has been widely performed through transobturatory sling surgery, with high rates of positive outcomes. Although this procedure uses minimally invasive surgery principles, postoperative complications have been reported, including bladder dysfunction, urinary retention, erosion and extrusion of the synthetic mesh, and more rarely, abscess formation and fistulization 4 . No statistics were found concerning mesh infection in this type of procedure; for comparison, it is known that after laparoscopic surgical repair of inguinal hernia, the rate of mesh infection is lower than 0.5% 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Fistulas are typically late complications, with rare reports of vaginocutaneous fistulas 4,6,7 and a single report of vaginofemoral fistula in literature 8 . We did not find any report of vaginocutaneous fistulas from abscesses caused by NTM, as reported in this study.…”

Section: Discussionmentioning

confidence: 99%

“…The composition of the sling meshes is one of the reasons to worry about the formation of fistulas, since it determines the piece's potential to internally erode the urinary tract and vagina, in addition to a certain degree of bacterial colonization. Individual patient characteristics, such as age, estrogenic status and sexual activity can also influence the likelihood of mesh erosion 4,6 . Risk factors for mesh erosion and fistulization include a history of pelvic irradiation, presence of cancer, infection and menopause 6 .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mycobacterium avium pelvic abscess with vaginocutaneous fistula after transobturatory sling surgery

Filho

Abe

Azevêdo

et al. 2021

Rev. Med. (São Paulo)

View full text Add to dashboard Cite

This study presents a rare case of abscess associated with vaginocutaneous fistula due to atypical mycobacterial infection after sling surgery, which was successfully treated. Abscesses and fistulas are rare postoperative complications in treatment of stress urinary incontinence by transobturatory sling surgery, due to its high rate of positive outcomes in the treatment of urinary incontinence in women. These complications are considered to be related to the composition of the mesh and bacterial infection. We report a case of a 50-year-old patient who developed, in the 7th postoperative year of perineoplasty with sling placement, pelvic abscess and cutaneous fistula in the left thigh. Microbiological examination of the lesion revealed infection by Mycobacterium avium. Antibiotic therapy plus abscess drainage surgery and surgical correction of the fistulous pathway were the treatment of choice. During the surgery, a vaginal opening of the cutaneous fistula was evidenced, originating from the sling mesh, which was removed and later proved to be colonized by M. avium. The patient became asymptomatic after 1 year of postoperative follow-up.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mycobacterium avium pelvic abscess with vaginocutaneous fistula after transobturatory sling surgery

Filho

Abe

Azevêdo

et al. 2021

Rev. Med. (São Paulo)

View full text Add to dashboard Cite

show abstract

“…46,48,66,98,173,178,212,217,334 These fistulas are most frequently associated with bladder or urethral erosion of the sling and patients can present in a variety of ways, and as late as 6 years after the initial surgery. 41,43,44,[335][336][337][338] Despite their low reported incidence, the possibility of fistulas should be considered when patients present with recurrent incontinence, OAB, pain and/or voiding dysfunction after mesh surgery. 41 Not infrequently, a diagnosis of fistula can be obscured, owing to the presence of adjacent granulation tissue (Figure 4).…”

Section: Reviewsmentioning

confidence: 96%

Safety considerations for synthetic sling surgery

et al. 2015

View full text Add to dashboard Cite

Implantation of a synthetic midurethral sling (SMUS) is the most commonly performed anti-incontinence operation in women worldwide. The effectiveness of the SMUS is comparable to that of the historical gold standards--autologous fascial slings and the Burch colposuspension. Much controversy, however, has evolved regarding the safety of this type of sling. Overall, the quality of the studies with respect to assessing risks of SMUS-associated complications is currently poor. The most common risks in patients with SMUS include urethral obstruction requiring surgery (2.3% of patients with SMUS), vaginal, bladder and/or urethral erosion requiring surgery (1.8%) and refractory chronic pain (4.1%); these data likely represent the minimum risks. In addition, the failure rate of SMUS implantation surgery is probably at least 5% in patients with stress urinary incontinence (SUI). Furthermore, at least one-third of patients undergoing sling excision surgery develop recurrent SUI. Considering the additional risks of refractory overactive bladder, fistulas and bowel perforations, among others, the overall risk of a negative outcome after SMUS implantation surgery is ≥15%.

show abstract

“…Many cases of mesh exposure and fistula formation have been reported in the litterature. [3][4][5] In this article we present a case of vaginocutaneous fistula and buttock abscess formation seven years after transobturator polypropylene tape insertion, an unusual complication with this type of tapes.…”

Section: Introductionmentioning

confidence: 99%

Vaginocutaneous fistula and buttock abscess formation 7 years after polypropylene transobturator tape insertion

Abdallah

Nisolle

Landsheere

2017

Journal of Gynecology Obstetrics and Human Reproduction

View full text Add to dashboard Cite

Surgical treatment for stress urinary incontinence (SUI) using transobturator tape insertion is widely accepted. However several postoperative complications were reported in the literature including infections, abscess and fistula formation. Here we report a case of 57 year old female who presented with abscess and left vaginocutaneous buttock fistula 7 years after transobturator polypropelene tape insertion. Treatment included abscess drainage with dissection of the fistulous tract and removal of the left arm of the transobturator tape along with antibiotic coverage. Sinus drainage stopped after 3 days. Stress urinary incontinence didn't recur. Suspicion of fistula formation should rise in patients presenting with bothersome vaginal or cutaneous discharge after transobturator tape insertion. This case is particular since it describes a fistula complication with polypropelene tape which is unusual with this type of tapes. Treatment of such complication should always consist of surgical removal of the mesh to allow closure of the fistulous tract.

show abstract

A late complication of transobturator tape procedure: vaginocutaneous fistula formation with vaginal mesh erosion

Cited by 8 publications

References 3 publications

Mycobacterium avium pelvic abscess with vaginocutaneous fistula after transobturatory sling surgery

Mycobacterium avium pelvic abscess with vaginocutaneous fistula after transobturatory sling surgery

Safety considerations for synthetic sling surgery

Vaginocutaneous fistula and buttock abscess formation 7 years after polypropylene transobturator tape insertion

Contact Info

Product

Resources

About