Bacteriological analysis of meshes removed for complications after surgical management of urinary incontinence or pelvic organ prolapse.
The aim of this study is to examine the role of bacterial infection in complications following surgical management of urinary incontinence and genital prolapse using meshes. There were sixteen prostheses removed. Eight were monofilament polypropylene-knitted meshes, one was a silicone-coated polypropylene mesh, another was a collagen-coated polypropylene mesh, four were silicone-coated polyester meshes and two were polyester meshes. The most frequent cause for removal was symptomatic vaginal erosion (62%). Cultures were performed under aerobic, anaerobic and enrichment conditions. Infection was multimicrobial for 31% of meshes. When only one bacteria was found, it was Proteus mirabilis in 25% of cases. Forty-three per cent of bacterial quantifications were under 10(3) colony-forming units per millilitre. Bacterial contamination was found in all meshes, quantification was often low, and therefore, its exact role is not yet clear.
Boulanger
Loïc
L
Department of Medical and Surgical Gynecology, Hôpital Jeanne de Flandre, Centre Hospitalier Regional et Universitaire, 2 avenue Oscar Lambret, 59037 Lille Cedex, France. loicboulanger@yahoo.fr
Boukerrou
Malik
M
Rubod
Chrystèle
C
Collinet
Pierre
P
Fruchard
A
A
Courcol
René J
RJ
Cosson
Michel
M
D005260:Female; D005549:Foreign-Body Reaction / Q000382:microbiology*; D006088:Gram-Negative Aerobic Bacteria / Q000302:isolation & purification; D016905:Gram-Negative Bacterial Infections; D016908:Gram-Positive Bacterial Infections; D006095:Gram-Positive Cocci / Q000302:isolation & purification; D006801:Humans; D016459:Prosthesis-Related Infections / Q000382:microbiology*; D053825:Suburethral Slings / Q000009:adverse effects / Q000382:microbiology*; D013526:Surgical Mesh / Q000382:microbiology*; D014549:Urinary Incontinence / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery