Ismail Sharif I M F
Royal Bournemouth Hospital, Bournemouth, Dorset, England, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Sep;18(9):1115-8. doi: 10.1007/s00192-007-0312-1. Epub 2007 Feb 28.
Infection is a recognised complication of using synthetic mesh tapes in continence surgery. It has only been reported alongside erosion after trans-obturator sling insertion for urodynamic stress incontinence. A 41-year-old patient developed mesh infection. This infection was diagnosed 16 months after insertion, when it became an abscess and discharged through her groin. The condition was not suspected earlier, despite having examination under anesthesia and repeat cystoscopy. The patient recovered upon removing the mesh and remains continent. This case documents the possible development of mesh infection without erosion. It highlights the importance of taking this possibility into consideration when dealing with patients after continence surgery and explores how it can be detected.
感染是在尿失禁手术中使用合成网带的一种公认并发症。仅在经闭孔吊带置入治疗尿动力学压力性尿失禁后与侵蚀一并被报道过。一名41岁患者发生了网带感染。该感染在置入后16个月被诊断出来,当时形成了脓肿并通过腹股沟排出。尽管进行了麻醉下检查和重复膀胱镜检查,但早期并未怀疑有这种情况。患者在取出网带后康复,并且仍保持控尿状态。该病例记录了无侵蚀情况下网带感染的可能发展情况。它强调了在处理尿失禁手术后的患者时考虑这种可能性的重要性,并探讨了如何进行检测。