Multifilament polypropylene mesh for urinary incontinence: 10 cases of infections requiring removal of the sling.
One hundred and forty-nine women received a suburethral woven polypropylene mesh insertion for urodynamic stress incontinence. Eleven patients (7.5%) presented between 4 and 17 months after surgery (mean 10 months) with symptoms of retropubic infection. Ten patients required surgical exploration, drainage of the collection and removal of the tape either unilaterally (six) or bilaterally (four). Bacterial cultures were negative in nine women. Following removal of the tape, eight patients reported residual incontinence, either stress leakage (five) or de novo urge incontinence (three). Multifilament polypropylene meshes appear to be more at risk of infection, usually requiring sling removal, which may be related to pore size of the mesh. Our data reinforce the importance of proper evaluation of new surgical procedures by rigorously designed randomised trials with adequate follow up to identify rare but potentially serious complications.
Bafghi
Abdolreza
A
Department of Gynecology and Obstetrics, University Hospital of Nice, 06202 Nice, France.
Benizri
Emmanuel I
EI
Trastour
Cynthia
C
Benizri
Eric J
EJ
Michiels
Jean-François
JF
Bongain
André
A
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000188:drug therapy / Q000209:etiology*; D002908:Chronic Disease; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D010068:Oxacillin / Q000627:therapeutic use; D011126:Polypropylenes / Q000009:adverse effects*; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*
D000900:Anti-Bacterial Agents; D011126:Polypropylenes; D010068:Oxacillin