Mesh-related chronic infections in silicone-coated polyester suburethral slings View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-01

AUTHORS

Joseph K.-S. Lee, Gerard Agnew, Peter L. Dwyer

ABSTRACT

INTRODUCTION AND HYPOTHESIS: despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS: we report the case histories and management of five women with complications following implant of an InFast sling. RESULTS: four of the five patients presented with symptom of chronic vaginal discharge, one presenting with irritative voiding symptoms and bladder pain. Resolution of presenting symptoms requires total removal of this silicone-coated polyester mesh, which often requires a combined vaginal-abdominal approach. CONCLUSIONS: the silicone-coated mesh of the AMS InFAST sling, can become a focus for chronic infection forming a sinus tract into the vagina or other viscus, causing symptoms years after its placement. More... »

PAGES

29-35

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-010-1244-8

DOI

http://dx.doi.org/10.1007/s00192-010-1244-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000380095

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20882270


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55 schema:description INTRODUCTION AND HYPOTHESIS: despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS: we report the case histories and management of five women with complications following implant of an InFast sling. RESULTS: four of the five patients presented with symptom of chronic vaginal discharge, one presenting with irritative voiding symptoms and bladder pain. Resolution of presenting symptoms requires total removal of this silicone-coated polyester mesh, which often requires a combined vaginal-abdominal approach. CONCLUSIONS: the silicone-coated mesh of the AMS InFAST sling, can become a focus for chronic infection forming a sinus tract into the vagina or other viscus, causing symptoms years after its placement.
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