Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Obstet Gynecol. 2013 Feb;121(2 Pt 2 Suppl 1):437-9. doi: 10.1097/aog.0b013e31826d27e3.
The midurethral sling is an effective treatment for stress urinary incontinence. Mesh exposure is a known complication of this procedure, with an associated rate of approximately 4%. Other than sling excision, there is minimal information on other options that may help to preserve an effective sling when an exposure has occurred.
A patient presented with a mesh exposure 9 weeks after a retropubic midurethral sling. Conservative treatment with vaginal estrogen failed, as did primary reclosure in the operating room. She was then successfully treated with a full-thickness autologous vaginal epithelium graft.
We report an alternative surgical option to mesh excision, which may help preserve an otherwise effective midurethral sling complicated by mesh exposure.
经尿道中段吊带术是治疗压力性尿失禁的有效方法。网片暴露是该手术的已知并发症，其发生率约为 4%。除了吊带切除术之外，对于当发生网片暴露时可能有助于保留有效吊带的其他选择，信息非常有限。
一名患者在耻骨后经尿道中段吊带术后 9 周出现网片暴露。阴道雌激素保守治疗失败，手术室初次缝合也失败。随后，她成功接受了全层自体阴道上皮移植物治疗。
我们报告了一种替代的手术选择，即网片切除，这可能有助于保留因网片暴露而变得复杂的有效经尿道中段吊带。
