Recurrent suprapubic abscess and vaginal fistula after anterior intravaginal slingplasty

Open Medicine ◽  
2009 ◽  
Vol 4 (1) ◽  
pp. 134-137
Author(s):  
Funda Gungor ◽  
Onay Yalcin
Keyword(s):  
Wound Healing ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Entire Length ◽  
Fistula Formation ◽  
Fistula Tract ◽  
Unusual Complication ◽  
Vaginal Fistula ◽  
Mesh Removal ◽  
Intravaginal Slingplasty

AbstractAnterior intravaginal slingplasty is a widely used procedure for the treatment of stress urinary incontinence. After the operation, defective wound healing, infection, and fistula formation may follow. We present an unusual complication of anterior IVS that is recurrent suprapubic abscess and vaginal fistula formation in a 72-year-old woman. Fistulography was obtained and revealed a fistula tract extending from the suprapubic incision through the entire length of the mesh. Removal of the mesh and obliteration of the fistula tract was performed. Although the symptoms were relieved, the patient started to have episodes of stress urinary incontinence three weeks after the procedure.

Thigh-vaginal fistula after TVT-O (trans obturator tape) for SUI (stress urinary incontinence)

2011 ◽  
Vol 12 ◽  
pp. 5-7
Author(s):  
Klaudia Stangel-Wójcikiewicz ◽  
Marcin Mika ◽  
Andrzej Wojtys ◽  
Robert Jach ◽  
Antoni Basta ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Vaginal Fistula

scholarly journals Surgical Outcomes of Transvaginal Neobladder-Vaginal Fistula Repair after Radical Cystectomy with Ileal Orthotopic Neobladder

2020 ◽  
Author(s):  
Wan Song ◽  
Dong Hyeon Lee
Keyword(s):  
Urinary Incontinence ◽  
Radical Cystectomy ◽  
Surgical Outcomes ◽  
Foley Catheter ◽  
Vaginal Wall ◽  
Fistula Tract ◽  
Vaginal Fistula ◽  
Orthotopic Neobladder ◽  
Transvaginal Approach ◽  
Surgical Methods

To present surgical methods and outcomes of neobladder-vaginal fistula (NVF) repair after radical cystectomy (RC) with ileal orthotopic neobladder (IONB). Methods: We retrospectively reviewed 136 women who underwent RC with IONB for bladder cancer between January 2010 and December 2018. The NVF was confirmed by cystoscopy and/or voiding cystography. NVF repair was performed using a transvaginal approach, which included circumferential incision of the fistula tract, creation of a plane between the neobladder serosa and the vaginal epithelium, and multi-layered transvaginal closure. Results: During a median follow-up of 47.9 months, NVF was identified in 12 (8.8%) women. Eight fistulas were located in the proximal anterior vaginal wall and four in the vaginal apex. Median time from RC to NVF repair was 3.4 months. Median NVF size and duration of urethral Foley catheter indwelling was 6.0 mm and 24.0 days, respectively. Initial repair of NVF was successful in ten (83.3%) patients. Two (16.7%) patients who relapsed retained IONB through the subsequent operation. Two (16.7%) patients developed urinary incontinence after NVF repair, requiring anti-incontinence surgery. Conclusions: The transvaginal approach for NVF repair is feasible, yielding successful surgical outcomes. However, women should be counseled about the risks of relapse and urinary incontinence.

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