Benassi G, Marconi L, Accorsi F, Angeloni M, Benassi L
Department of Obstetrics and Gynaecology, University of Parma, Via Gramsci, 9-43100, Parma, Italy.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jun;18(6):697-9. doi: 10.1007/s00192-006-0211-x. Epub 2007 Feb 28.
A 50-year-old diabetic woman was referred to our unit because of high fever, foul-smelling vaginal discharge and pain in the leg, 7 months after undergoing surgery for application of a transobturator suburethral sling. Patient evaluation revealed erosion of the tape through the vaginal wall; the infection had spread to the region of the internal obturator muscle and then up to the anterior recess of the ischiorectal fossa. The patient underwent surgery for sling removal, antibiotic therapy and, finally, surgical incisions to facilitate drainage of the abscess. All these passages were necessary to obtain complete resolution of the symptoms. Infectious complications are possible after transobturator sling procedures. Patients should then be informed about the risks of erosion and infection and be warned that the appearance of pain and foul-smelling vaginal discharge may indeed be the first symptom of subsequent and much more severe infectious complications.
一名50岁的糖尿病女性患者，在接受经闭孔尿道下吊带手术7个月后，因高热、阴道分泌物有异味及腿部疼痛被转诊至我院。患者评估显示吊带侵蚀阴道壁；感染已蔓延至闭孔内肌区域，进而向上蔓延至坐骨直肠窝前隐窝。患者接受了吊带取出手术、抗生素治疗，最后进行手术切口以促进脓肿引流。所有这些措施对于症状的完全缓解都是必要的。经闭孔吊带手术后可能会出现感染并发症。因此，应告知患者侵蚀和感染的风险，并警告他们疼痛和阴道分泌物有异味可能确实是随后更严重感染并发症的首发症状。
