J Korean Continence Soc.  2007 Dec;11(2):193-196.

Vaginal Erosion and Pelvic Abscess after Anterior Intravaginal Slingplasty (IVS) in Patient with Stress Urinary Incontinence

Affiliations
  • 1Department of Urology, Kwandong University College of Medicine, Goyang, Korea. urokdj@hotmail.com

Abstract

Midurethral slings are increasingly popular for the surgical treatment of stress urinary incontinence. They are relatively simple to implant and shorten operating time, hospital stay, and recovery time. Tension free vaginal tape (TVT) and Intravaginal slingplasty (IVS) mesh are both polypropylene mesh. TVT is a type I totally macroporous mesh which, because of pores larger than 75 microns, admits bacteria, macrophages, and fibroblasts into the pores. IVS is a type III mesh with microporous components which admits bacteria but not macrophages. So anterior IVS appear to be more at risk of infection or vaginal erosion than other monofilament mesh. We report our experience with a patient who underwent anterior IVS and developed erosion of the mesh through vagina, creating pelvic abscess.

Keyword

Surgical mesh; Vagina; Abscess

MeSH Terms

Abscess*
Bacteria
Fibroblasts
Humans
Length of Stay
Macrophages
Polypropylenes
Suburethral Slings
Surgical Mesh
Urinary Incontinence*
Vagina
Polypropylenes
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