一例无张力阴道吊带置入19年后发生带材感染的病例。
A case of tape infection 19 years after insertion of a tension-free vaginal tape sling.
作者信息
Watanabe Tomofumi, Sako Tomoko, Tominaga Yusuke, Sadahira Takuya, Sekito Takanori, Takamoto Atsushi, Edamura Kohei, Kobayashi Yasuyuki, Wada Koichiro, Araki Motoo
机构信息
Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.
Department of Urology Fukuyama City Hospital Fukuyama Hiroshima Japan.
出版信息
IJU Case Rep. 2022 Mar 28;5(4):228-231. doi: 10.1002/iju5.12440. eCollection 2022 Jul.
INTRODUCTION
Tape infection after insertion of tension-free vaginal tape is a well-known but rare complication. We report a patient who experienced a subcutaneous abscess 19 years after the surgery.
CASE PRESENTATION
A 41-year-old woman presented with fever and lower abdominal pain. She had undergone tension-free vaginal tape insertion for stress urinary incontinence 19 years prior. She had asymptomatic dysuria. After an abscess incision and 1-week treatment with antibiotics, she underwent surgery to remove the tape and the abscess without complications.
CONCLUSION
Tension-free Vaginal Tape insertion could be a potential risk of asymptomatic dysuria, resulting in urinary tract infection. In this case, removal of tape was necessary for controlling subcutaneous abscess resulting from the presence of tension-free vaginal tape.
引言
无张力阴道吊带置入术后发生感染是一种已知但罕见的并发症。我们报告一名患者在手术后19年出现皮下脓肿。
病例介绍
一名41岁女性出现发热和下腹痛。她在19年前因压力性尿失禁接受了无张力阴道吊带置入术。她有无症状性排尿困难。在脓肿切开并使用抗生素治疗1周后，她接受了手术取出吊带和脓肿，未出现并发症。
结论
无张力阴道吊带置入可能存在无症状性排尿困难的潜在风险，进而导致尿路感染。在本病例中，为控制因无张力阴道吊带导致的皮下脓肿，取出吊带是必要的。
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