Skala C, Renezeder K, Albrich S, Puhl A, Laterza R M, Naumann G, Koelbl H
Department of Obstetrics and Gynecology, Mainz University Hospital, Langenbeckstrasse 1, 55131 Mainz, Germany.
Int Urogynecol J. 2011 Nov;22(11):1429-35. doi: 10.1007/s00192-011-1508-y. Epub 2011 Jul 26.
This is a presentation of case series after the use of alloplasic material in urogynaecology.
From 2004 to 2010, a total 179 patients with complications have been referred directly after the use of alloplastic material in incontinence and prolapse surgery. Of this total, 125 patients had a previous vaginal sling plasty because of urinary stress incontinence, while 54 patients underwent a prolapse surgery with mesh use. Symptoms and findings are expressed by the recently introduced International Urogynecological Association/International Continence Society (IUGA/ICS) terminology.
The most frequent findings after vaginal sling plasty were bladder outlet obstruction, pain and tape exposure. The most frequent findings after prolapse surgery were pain and mesh erosion. The IUGA/ICS classification does not give the possibility to express functional disorders. Most revisions were done more than 2 months after surgery. After incontinence surgery, mostly the vaginal area of suture line was affected; after prolapse surgery, the vagina and the trocar passage were affected.
Mesh complication and affected site after prolapse surgery do differ from those after incontinence surgery. The IUGA/ICS classification of mesh complication facilitates the comparison of mesh complication.
本文介绍了泌尿妇科使用同种异体材料后的一系列病例。
2004年至2010年，共有179例使用同种异体材料进行尿失禁和盆底器官脱垂手术出现并发症的患者被直接转诊。其中，125例患者因压力性尿失禁曾接受阴道吊带成形术，54例患者接受了使用网片的盆底器官脱垂手术。症状和检查结果采用最近引入的国际尿控协会/国际尿失禁学会（IUGA/ICS）术语进行表述。
阴道吊带成形术后最常见的检查结果是膀胱出口梗阻、疼痛和吊带外露。盆底器官脱垂手术后最常见的检查结果是疼痛和网片侵蚀。IUGA/ICS分类无法表达功能障碍。大多数修复手术在术后2个月以上进行。尿失禁手术后，受影响的主要是缝合线的阴道区域；盆底器官脱垂手术后，受影响的是阴道和套管针穿刺通道。
盆底器官脱垂手术后的网片并发症和受影响部位与尿失禁手术后不同。IUGA/ICS对网片并发症的分类有助于网片并发症的比较。
