[en] 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.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
ABDALLAH, Alain; Université Libre de Bruxelles - ULB > Gynécologie-Obstétrique - Hôpital de la Citadelle > Service de gynécologie-obstétrique (CHR) > Boursier Fosfom - 5ème année
NISOLLE, Michelle ; Centre Hospitalier Universitaire de Liège - CHU > Service de gynécologie-obstétrique (CHR)
DE LANDSHEERE, Laurent ; Centre Hospitalier Universitaire de Liège - CHU > Service de gynécologie-obstétrique (CHR)
Language :
English
Title :
Vaginocutaneous fistula and buttock abscess formation 7 years after polypropylene transobturator tape insertion.
Publication date :
2017
Journal title :
Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
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