Jha Swati, Radley Stephen, Shorthouse Andrew
Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Trust, Glossop Road, Sheffield S10 2SF, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Jun;19(6):877-9. doi: 10.1007/s00192-007-0528-0.
This is the first reported case of an ischiorectal abscess after a midurethral intravaginal slingplasty (IVS). The patient presented with recurrent ischiorectal abscess which was initially thought to be an unusual presentation of a fistula in ano. Subsequent examination under anaesthesia, however, revealed a fistulous tract extending from the right postero-lateral perianal opening to the vagina where the tape was noted to be eroded and infected. The abscess healed only after removal of the source of infection i.e. the IVS tape. In this report, we also discuss the two main types of meshes used as midurethral slings, the ways in which they differ and the arguments for and against using them.
这是首例关于经阴道中段尿道吊带成形术（IVS）后发生坐骨直肠窝脓肿的报道病例。该患者出现复发性坐骨直肠窝脓肿，最初被认为是肛瘘的一种不寻常表现。然而，随后的麻醉下检查发现，一条瘘管从右侧后外侧肛周开口延伸至阴道，在该处发现吊带被侵蚀并感染。仅在去除感染源即IVS吊带后，脓肿才得以愈合。在本报告中，我们还讨论了用作经阴道中段尿道吊带的两种主要类型的补片、它们的不同之处以及使用它们的支持和反对观点。
