Multifilament polypropylene mesh for urinary incontinence: 10 cases of infections requiring removal of the sling
- 1 March 2005
- journal article
- research article
- Published by Wiley in BJOG: An International Journal of Obstetrics and Gynaecology
- Vol. 112 (3), 376-378
- https://doi.org/10.1111/j.1471-0528.2004.00415.x
Abstract
One hundred and forty-nine women received a suburethral woven polypropylene mesh insertion for urodynamic stress incontinence. Eleven patients (7.5%) presented between 4 and 17 months after surgery (mean 10 months) with symptoms of retropubic infection. Ten patients required surgical exploration, drainage of the collection and removal of the tape either unilaterally (six) or bilaterally (four). Bacterial cultures were negative in nine women. Following removal of the tape, eight patients reported residual incontinence, either stress leakage (five) or de novo urge incontinence (three). Multifilament polypropylene meshes appear to be more at risk of infection, usually requiring sling removal, which may be related to pore size of the mesh. Our data reinforce the importance of proper evaluation of new surgical procedures by rigorously designed randomised trials with adequate follow up to identify rare but potentially serious complications.This publication has 5 references indexed in Scilit:
- Infected Hematoma Following Tension-Free Vaginal Tape ImplantationJournal of Urology, 2002
- A nationwide analysis of complications associated with the tension‐free vaginal tape (TVT) procedureActa Obstetricia et Gynecologica Scandinavica, 2002
- A three‐year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinenceBJOG: An International Journal of Obstetrics and Gynaecology, 1999
- Coagulase-Negative Staphylococci Isolated from Cerebrospinal Fluid Shunts: Importance of Slime Production, Species Identification, and Shunt Removal to Clinical OutcomeThe Journal of Infectious Diseases, 1987
- Noninfectious Fluid Collection Around VelourSouthern Medical Journal, 1981