title: Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence.
abstract: The goal of this study was to analyze the risk factors associated with vaginal erosion after synthetic sling procedure for stress urinary incontinence. Follow-up evaluations were at 1 week, 1 to 3 months, 6 months, and annually after the operation. The evaluations included detailed history taking, vaginal examinations, and perineal ultrasonographic urethrocystography. The vaginal erosion rate (6/239) after the synthetic sling procedure was 2.5%. We assessed the relationship between clinical features and vaginal erosion. Of these, only diabetes mellitus (DM) was a significant risk factor for vaginal erosion. Women with DM were 8.3 times more at risk than women without DM for developing vaginal erosion after synthetic sling procedure (p < 0.05). The vaginal erosion-free rate during the 24-month follow-up decreased significantly in women with DM. The rate of vaginal erosion associated with type III multifilamentous polypropylene sling (intravaginal slingplasty) is 10.7% more than that with type I monofilament polypropylene sling (such as tension-free vaginal tape and inside out transobturator vaginal tape) (p = 0.054). Women with DM should be informed that vaginal erosion is a possible complication after synthetic sling procedure.
authors.affiliation: Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2 Yu-Der Road, Taichung 404, Taiwan. d888208@ms45.hinet.net
authors.forename: Huey-Yi
authors.initials: HY
authors.lastname: Chen
authors.forename: Ming
authors.initials: M
authors.lastname: Ho
authors.forename: Yao-Ching
authors.initials: YC
authors.lastname: Hung
authors.forename: Li-Chia
authors.initials: LC
authors.lastname: Huang
mesh_terms: D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053208:Kaplan-Meier Estimate; D008875:Middle Aged; D011126:Polypropylenes / Q000009:adverse effects; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000009:adverse effects*; D014621:Vagina / Q000293:injuries*
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes