Wohlrab Kyle J, Erekson Elisabeth A, Myers Deborah L
Division of Urogynecology, Women & Infants' Hospital, Alpert Medical School of Brown University, Providence, RI 02903, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):417-20. doi: 10.1007/s00192-008-0787-4. Epub 2008 Dec 13.
The objective of the study was to describe the presentation of vaginal mesh erosions following Mersilene suburethral slings for urinary incontinence. We performed a retrospective review of all Mersilene suburethral slings placed at a tertiary referral center from 1996 to 2007. A total of 772 women underwent placement of a Mersilene suburethral sling. We identified 62 women that underwent surgical revision due to mesh erosion for an overall erosion rate of 8%. The most common presenting symptom was vaginal discharge reported in 37% of women. Other symptoms included vaginal bleeding in 31%, pain or dyspareunia in 13%, and voiding dysfunction in 21% of women. Seven women were found to have the mesh in the bladder on cystoscopy. Cellulitis complicated 8.3% of erosions. Patients with erosions of Mersilene mesh slings commonly complain of vaginal bleeding and discharge and may present up to 20 years after the surgery.
该研究的目的是描述使用Mersilene尿道下吊带治疗尿失禁后阴道网片侵蚀的表现。我们对1996年至2007年在一家三级转诊中心放置的所有Mersilene尿道下吊带进行了回顾性研究。共有772名女性接受了Mersilene尿道下吊带植入术。我们确定有62名女性因网片侵蚀而接受了手术修复，总体侵蚀率为8%。最常见的症状是37%的女性出现阴道分泌物。其他症状包括31%的女性出现阴道出血，13%的女性出现疼痛或性交困难，21%的女性出现排尿功能障碍。膀胱镜检查发现7名女性的膀胱中有网片。蜂窝织炎在8.3%的侵蚀病例中并发。Mersilene网片吊带侵蚀的患者通常会抱怨阴道出血和分泌物，并且可能在手术后长达20年才出现症状。
