Urethrovaginal fistula 11 years after a bone anchor sling using woven polyester and treatment with a Martius flap.
IJU Case Rep
; 4(6): 433-435, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-34755077
ABSTRACT
INTRODUCTION:
We encountered a urethrovaginal fistula diagnosed 11 years after a bone anchor sling. CASE PRESENTATION A 58-year-old woman underwent a bone anchor sling to treat stress urinary incontinence. At age 69, mid-urethral sling was planned because of a recurrent stress urinary incontinence diagnosis, but a urethrovaginal fistula was found immediately before the procedure. After removing woven polyester, the previous sling material, simple fistula closure was carried out but failed. Usage of a vaginal speculum and powerful medical lamps during a stress test revealed leakage from both the urethrovaginal fistula and the external urethral meatus. She underwent another fistula closure using a Martius flap. Subsequently, a 1-h pad test improved from 195 to 5.1 g/h. The remaining mild stress urinary incontinence did not necessitate further treatment.CONCLUSION:
Anti-incontinence procedures using synthetic materials can cause urethrovaginal fistula. Attention must be paid to the possibility of urethrovaginal fistula when patients complain of worsened incontinence postoperatively.
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1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article