Siegel Andrew L, Kim Michelle, Goldstein Martin, Levey Stuart, Ilbeigi Pedram
Department of Urology, Hackensack University Medical Center, Hackensack, New Jersey 07601, USA.
J Urol. 2005 Oct;174(4 Pt 1):1308-11. doi: 10.1097/01.ju.0000173927.74235.e9.
The intravaginal slingplasty (IVS) is a tension-free vaginal tape variant that uses a multi-filament polypropylene tape to support the mid urethra for the treatment of female stress urinary incontinence. Numerous cases of defective vaginal wound healing have been described in the international urogynecological literature. We describe our experience of vaginal mesh extrusion using the IVS sling.
A total of 35 patients underwent suburethral sling procedures for anatomical stress urinary incontinence using the IVS system from November 2002 to September 2003. A retrospective chart review was performed to retrieve data on safety and efficacy, complications and outcomes using this product.
Six patients (17%) to date have presented with defective vaginal healing manifested by extrusion of the sling material. Mean time to presenting symptoms was 9 months (range 2 to 15). All patients required surgical removal of the sling material. No urethral erosions were noted.
Our experience suggests that the IVS sling system, which uses a multi-filament polypropylene suburethral mesh, incurs an unacceptably high rate of defective vaginal wound healing and mesh extrusion.
阴道吊带成形术（IVS）是一种无张力阴道吊带术式的变体，它使用多股聚丙烯带支撑尿道中段，用于治疗女性压力性尿失禁。国际尿控妇科文献中已描述了许多阴道伤口愈合不良的病例。我们描述了使用IVS吊带导致阴道网片外露的经验。
2002年11月至2003年9月，共有35例患者使用IVS系统进行了尿道下吊带手术治疗解剖性压力性尿失禁。通过回顾性病历审查，检索有关使用该产品的安全性、有效性、并发症和结局的数据。
迄今为止，6例患者（17%）出现了吊带材料外露导致的阴道愈合不良。出现症状的平均时间为9个月（范围2至15个月）。所有患者均需手术取出吊带材料。未发现尿道侵蚀。
我们的经验表明，使用多股聚丙烯尿道下网片的IVS吊带系统，阴道伤口愈合不良和网片外露的发生率高得令人无法接受。
