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Published in: International Urogynecology Journal 3/2007

01-03-2007 | Case Report

Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (IVS)

Authors: Christl Reisenauer, Diethelm Wallwiener, Arnulf Stenzl, Franz-Erich Solomayer, Karl-Dietrich Sievert

Published in: International Urogynecology Journal | Issue 3/2007

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Abstract

A sixty-year-old woman with stress urinary incontinence had undergone a placement of an IVS (Tyco Health Care UK) in another hospital in February 2003. Seventeen months after the procedure, she complained about a suppurative discharge from the vagina and a recurrent severe stress urinary incontinence. The gynecological examination revealed an erosion of the sling into the vagina and a large urethrovaginal fistula bordered by granuloma. After removal of the sling, the urethrovaginal fistula was closed using a vaginal flap. A subsequent conservative treatment regime with duloxetine and pelvic floor training improved the stress urinary incontinence to the patient’s satisfaction.
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Metadata
Title
Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (IVS)
Authors
Christl Reisenauer
Diethelm Wallwiener
Arnulf Stenzl
Franz-Erich Solomayer
Karl-Dietrich Sievert
Publication date
01-03-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0139-1

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