title: Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape.
abstract: We report a rare postoperative complication of a mid-urethral tape. The patient presented with a chronic infection resistant to treatment with several weeks of antibiotics, with eventual surgical removal, and the resulting complications of an infected incisional hernia and vesico-cutaneous fistula required reconstruction of the abdominal wall with Permacol and excision of the vesico-cutaneous fistula. We also look briefly at the impact of health tourism on the National Health Service.
authors.affiliation: St Peter's Hospital, Ashford and St Peter's Hospitals NHS Trust, Surrey, UK. drhwalker@doctors.org.uk
authors.forename: Helen
authors.initials: H
authors.lastname: Walker
authors.forename: Thomas
authors.initials: T
authors.lastname: Brooker
authors.forename: Wolf
authors.initials: W
authors.lastname: Gelman
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D003094:Collagen / Q000627:therapeutic use; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D057193:Medical Tourism / Q000191:economics; D016459:Prosthesis-Related Infections / Q000150:complications / Q000601:surgery*; D053825:Suburethral Slings / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000601:surgery*
chemical_list: C422414:Permacol; D003094:Collagen