title: Management of polypropylene mesh erosion after intravaginal midurethral sling operation for female stress urinary incontinence.
abstract: The intravaginal midurethral sling operations have become a trend to treat female stress urinary incontinence. Cases of complications requiring surgical revision are rarely reported. We report on seven patients with complications necessitating surgery. Six patients with vaginal erosion were treated with transvaginal excision of migrated tape and fibrotic tissues around the vaginal wall, and one patient with bladder erosion was treated with suprapubic minimal laparotomy and transvaginal partial excision of the tension-free vaginal tape (TVT). The incidence of polypropylene mesh erosion was 1.1% in this study. All patients recovered well from our surgical intervention, except the bladder erosion patient who needed anticholinergic medication to treat postoperative urgency and urge incontinence.
authors.affiliation: Division of Urogynecology, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 123, Ta Pei Road, Niao Sung Hsiang, Kaohsiung Hsien, 83305, Taiwan. gynh2436@adm.cgmh.com.tw
authors.forename: Kuan-Hui
authors.initials: KH
authors.lastname: Huang
authors.forename: Fu-Tsai
authors.initials: FT
authors.lastname: Kung
authors.forename: Hsi-Mi
authors.initials: HM
authors.lastname: Liang
authors.forename: Shiuh-Young
authors.initials: SY
authors.lastname: Chang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants / Q000009:adverse effects*; D013526:Surgical Mesh; D001745:Urinary Bladder Diseases / Q000209:etiology; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*; D014623:Vaginal Diseases / Q000209:etiology
chemical_list: D011126:Polypropylenes