title: Surgical management of vaginal wound healing defects after tension-free vaginal tape placement.
abstract: The use of tension-free vaginal tape (TVT) made of polypropylene mesh carries the risk of causing vaginal wound healing defects, which are usually detected within 4 weeks of operation. We present three cases of vaginal wound healing defects after TVT procedures. These defects were managed using surgical techniques aimed at preserving the mesh, but all failed. There are many options for dealing with the problems of vaginal wounds following TVT. These include further observation, mesh removal, suturing the wound, or using tissue flaps to cover it. However, the latter two options cannot be recommended as they usually fail.
authors.affiliation: Department of Urology, Inha University Medical College, Incheon, Korea. lt11@inha.ac.kr
authors.forename: Tack
authors.initials: T
authors.lastname: Lee
authors.forename: Jun-Sig
authors.initials: JS
authors.lastname: Kim
authors.forename: Jin-Kwan
authors.initials: JK
authors.lastname: Jung
authors.forename: Hun-Jae
authors.initials: HJ
authors.lastname: Lee
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes / Q000009:adverse effects*; D013524:Surgical Flaps; D013526:Surgical Mesh / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014621:Vagina / Q000473:pathology* / Q000601:surgery*
chemical_list: D011126:Polypropylenes