Suprapubic-vaginocutaneous fistula 18 years after a bladder-neck suspension.
BACKGROUND
Several complications are associated with healing after pelvic reconstructive surgery for stress urinary incontinence. These include infection, hemorrhage, erosion, and fistula formation.


METHODS
A 67-year-old woman presented with simultaneously draining vaginal and suprapubic sinuses. Examination revealed a vagino-abdominal fistula. Surgical excision found an abscess around synthetic material from a previous bladder-neck suspension.


CONCLUSIONS
Unusual fistulation can occur remotely from anti-incontinence surgery, especially when graft materials are used.
Giles
Dobie L
DL
Department of Obstetrics and Gynecology Department, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Davila
G Willy
GW
D000368:Aged; D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012086:Reoperation; D018570:Risk Assessment; D013526:Surgical Mesh / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014624:Vaginal Fistula / Q000175:diagnosis* / Q000601:surgery