title: Delayed reaction to the Dacron buttress used in Stamey bladder neck suspension.
abstract: Stamey bladder neck suspension is thought to be an excellent procedure for stress urinary incontinence in selected groups of patients. However we must not ignore the complications of this procedure. We report a case of a patient who developed a delayed reaction with bladder wall erosion to the Dacron buttress used in Stamey urethropexy 19 years before. She was presented with pelvic pain and persisting irritative bladder symptoms. The treatment of choice was cystoscopic removal of suture and buttress. Tissue intolerance is a common problem with the use of different kinds of biomaterials in incontinence surgery. Careful cystourethroscopy is essential for early diagnosis and treatment if pain, infections and severe irritative symptoms occur postoperatively.
authors.affiliation: Section of Urology, Attikon University Hospital, 124 62, Athens, Greece.
authors.forename: Alkiviadis
authors.initials: A
authors.lastname: Gregorakis
authors.forename: Constantine
authors.initials: C
authors.lastname: Bouropoulos
authors.forename: Demitrios
authors.initials: D
authors.lastname: Dimitriou
authors.forename: George
authors.initials: G
authors.lastname: Rallis
authors.forename: Spyros
authors.initials: S
authors.lastname: Vernadakis
authors.forename: Iordanis N
authors.initials: IN
authors.lastname: Papadopoulos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kastriotis
mesh_terms: D001672:Biocompatible Materials / Q000009:adverse effects; D015653:Cystectomy; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007249:Inflammation / Q000209:etiology / Q000473:pathology; D011093:Polyethylene Terephthalates / Q000009:adverse effects*; D013537:Sutures; D001743:Urinary Bladder / Q000473:pathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects*
chemical_list: D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates