title: Synthetic pubovaginal sling (TVT): failure in conservative treatment following vaginal exteriorization.
abstract: Female, 57 year-old patient, reported having undergone surgery for correction of urinary incontinence due to sphincteric insufficiency with the implantation of a synthetic pubovaginal sling 14 months earlier. Though she did not present urine loss any longer, approximately 60 days following the surgical procedure she started to report dysuria, pollakiuria and dyspareunia. Attempts of a conservative solution were ineffective. The appearance of a vaginal infra-urethral granuloma and the exteriorization of the synthetic material led to its removal.
authors.affiliation: Santa Casa de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil. thorell@terra.com.br
authors.forename: Edgar
authors.initials: E
authors.lastname: Thorell
authors.forename: Giovani T
authors.initials: GT
authors.lastname: Pioner
authors.forename: Mariana R
authors.initials: MR
authors.lastname: Thorell
mesh_terms: D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D019736:Prostheses and Implants / Q000009:adverse effects*; D012086:Reoperation; D013526:Surgical Mesh / Q000009:adverse effects*; D014549:Urinary Incontinence / Q000601:surgery*
chemical_list: D011126:Polypropylenes