Vaginocutaneous fistula and inguinal abcess presented 6 years after tension-free vaginal tape sling

Surgical treatment of female stress urinary incontinence (SUI) has become very pop- ular after respectable success with minimal invasive surgeries. This is the first report of long term vaginocutaneous fistula (VCF) plus inguinal abcess after tension-free vaginal tape (TVT). A 67 year-old woman with vaginal discharge lasting more than 3 years complained with a painful swelling in the left inguinal area for the last three months. She had a medical history of TVT sling procedure for SUI six years ago. She had no history of pelvic surgery, cancer treatment or pelvic irradiation before or after TVT sling. No urethrovaginal or vesicovaginal fistula was found in physical examination and cystocopy. MRI showed a vaginocutenaous fistula and inguinal abcess. This case highlights the need for a high index of suspicion for VCF after TVT.

TWO CASES OF BLADDER PROLENE® TAPE EXPOSURE AFTER TVT PROCEDURE

Two cases of bladder exposure of TVT sling material at 23 and 12 months after the implantation are reported. In both cases the urinary problems developed immediately after the TVT procedure and only few millimetres of one arm of the sling were exposed into the bladder. It is assumed therefore that the graft was inserted into the bladder lumen or into the bladder wall during the procedure rather than rejected. The whole sling was removed and both patients were cured of dysuria but in one recurrence of stress incontinence was noted.