Abdallah A, Nisolle M, de Landsheere L
Department of obstetrics and gynecology, CHR La Citadelle, university of Liège, boulevard du 12(e) de Ligne, 14000 Liège, Belgium.
Department of obstetrics and gynecology, CHR La Citadelle, university of Liège, boulevard du 12(e) de Ligne, 14000 Liège, Belgium.
J Gynecol Obstet Hum Reprod. 2017 Jan;46(1):103-105. doi: 10.1016/j.jogoh.2016.11.006. Epub 2017 Jan 30.
Surgical treatment for stress urinary incontinence (SUI) using transobturator tape insertion is widely accepted. However, several postoperative complications were reported in the literature including infections, abscess and fistula formation. Here, we report a case of 57-year-old female who presented with abscess and left vaginocutaneous buttock fistula 7 years after transobturator polypropylene tape insertion. Treatment included abscess drainage with dissection of the fistulous tract and removal of the left arm of the transobturator tape along with antibiotic coverage. Sinus drainage stopped after 3 days. Stress urinary incontinence did not recur. Suspicion of fistula formation should rise in patients presenting with bothersome vaginal or cutaneous discharge after transobturator tape insertion. This case is particular since it describes a fistula complication with polypropylene tape, which is unusual with this type of tapes. Treatment of such complication should always consist of surgical removal of the mesh to allow closure of the fistulous tract.
经闭孔带置入术治疗压力性尿失禁（SUI）已被广泛接受。然而，文献报道了一些术后并发症，包括感染、脓肿和瘘管形成。在此，我们报告一例57岁女性，在经闭孔聚丙烯带置入术后7年出现脓肿和左侧阴道皮肤臀部瘘。治疗包括脓肿引流、瘘管切开以及取出经闭孔带的左臂，并给予抗生素治疗。3天后窦道引流停止。压力性尿失禁未复发。经闭孔带置入术后出现令人烦恼的阴道或皮肤分泌物的患者应提高对瘘管形成的怀疑。该病例特殊之处在于它描述了聚丙烯带导致的瘘管并发症，这种情况在这类带子中并不常见。此类并发症的治疗应始终包括手术取出补片，以实现瘘管闭合。
