Lim Y N, Rane A
Department of Urogynecology, Townsville Hospital, PO Box 670, 4810, Townsville, Queensland, Australia.
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Jan-Feb;15(1):56-8. doi: 10.1007/s00192-003-1092-x. Epub 2003 Nov 19.
We report an unusual case of suburethral vaginal erosion and pyogenic granuloma formation 14 months after intravaginal slingplasty (IVS). A 64-year-old woman underwent IVS for recurrent stress incontinence 12 years after Burch colposuspension. Following seemingly uncomplicated surgery and recovery, she developed a recurrent urinary tract infection which was treated with antibiotics. When she presented with vaginal pain and postmenopausal bleeding approximately 14 months postoperatively, she was found to have suburethral vaginal erosion of the tape and a pyogenic granuloma. The exposed tape was removed, the granuloma excised, and the overlying vaginal skin was then closed. She then made an uneventful recovery.
我们报告了一例阴道吊带成形术（IVS）后14个月发生尿道下阴道糜烂和化脓性肉芽肿形成的罕见病例。一名64岁女性在Burch阴道悬吊术12年后因复发性压力性尿失禁接受了IVS。在看似顺利的手术和恢复后，她出现了复发性尿路感染，接受了抗生素治疗。术后约14个月，当她出现阴道疼痛和绝经后出血时，发现尿道下阴道处的吊带发生糜烂并有一个化脓性肉芽肿。将暴露的吊带取出，切除肉芽肿，然后缝合覆盖的阴道皮肤。随后她顺利康复。
