A late complication of transobturator tape procedure: vaginocutaneous fistula formation with vaginal mesh erosion.
Transobturator tape procedures are a common treatment modality in patients with stress urinary incontinence (SUI). Various complications have been reported related to this procedure. We present a rare case of vaginocutaneous fistula formation 5 years after transobturator tape surgery. A 56-year-old woman presented with complaints of increased vaginal discharge, difficulty in coitus, and serosanguineous discharge from the left groin 5 years after transobturator tape surgery for SUI. Pelvic examination revealed 2-3 cm of extruded mesh at the anterior vaginal wall. The vaginocutaneous fistula was detected at surgery. The suburethral tape was removed, and the fistula tract was excised and repaired primarily. Postoperative period was uneventful, and the patient was still continent 6 weeks postoperatively. With widespread use of mesh for treating SUI, we will likely see a variety of complications in the long term.
Department of Obstetrics and Gynecology, Kinikli, Pamukkale University Medical School, Onelya Evleri, A-4 Yenişehir, 20125, Denizli, Turkey, aysunkarabulut@yahoo.com.
Aysun
A
Karabulut
Ömer
Ö
Demitaş
Soner
S
Gök
D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D053825:Suburethral Slings / Q000009:adverse effects*; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology* / Q000601:surgery