Suprapubic-vaginocutaneous fistula 18 years after a bladder-neck suspension.

Giles, Dobie L; Davila, G Willy · Obstet Gynecol · 2005

case_report · Level V

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Abstract

Several complications are associated with healing after pelvic reconstructive surgery for stress urinary incontinence. These include infection, hemorrhage, erosion, and fistula formation. A 67-year-old woman presented with simultaneously draining vaginal and suprapubic sinuses. Examination revealed a vagino-abdominal fistula. Surgical excision found an abscess around synthetic material from a previous bladder-neck suspension. Unusual fistulation can occur remotely from anti-incontinence surgery, especially when graft materials are used.

Medical subject headings