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International Urogynecology Journal

Published in:

01-01-2011 | Original Article

Mesh-related chronic infections in silicone-coated polyester suburethral slings

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

Published in: International Urogynecology Journal | Issue 1/2011

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.

Williams TJ, Te Linde RW (1962) The sling operation for urinary incontinence using mersilene ribbon. Am J Obstet Gynecol 19:241–245

Morgan JE (1970) A sling operation using Marlex polypropylene mesh for treatment of recurrent stress incontinence. Am J Obstet Gynecol 106:369–377PubMed

Chin YK, Stanton SL (1995) A follow up of Silastic sling for genuine stress incontinence. Br J Obstet Gynaecol 102:143–147CrossRefPubMed

Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–86CrossRefPubMed

Lee J, Dwyer P (2010) Surgery for stress urinary incontinence in Australia: current trends from Medicare data. Med J Aust 192:422PubMed

FDA Public Health Notification (2008) Serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PublicHealthNotifications/UCM061976. Accessed 5 Apr 2010

Chai TC, Sklar GN (1999) Use of the flexible cystoscope as a vaginoscope to aid in the diagnosis of artificial sling erosion. Urology 53:617CrossRefPubMed

Slack M, Sandhu JS, Staskin DR, Grant RC (2006) In vivo comparison of suburethral sling materials. Urogynecol J Pelvic Floor Dysfunct 17:106–110CrossRef

Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Lobry P, Crépin G, Ego A (2003) Mechanical properties of synthetic implants used in the repair of prolapse and urinary incontinence in women: which is the ideal material? Int Urogynecol J Pelvic Floor Dysfunct 20(6):169–178CrossRef

10.

Julian TM (1996) The efficacy of Marlex mesh in the repair of sever, recurrent vaginal prolapse of the anterior midvaginal wall. Am J Obstet Gynecol 175(6):1472–1475CrossRefPubMed

11.

Meschia M, Pifarotti P, Bernasconi F, Magatti F, Vigano R, Bertozzi R, Barbacini P (2006) Tension-free vaginal tape (TVT) and intravaginal slingplasty (IVS) for stress urinary incontinence: a multicenter randomized trial. Am J Obstet Gynecol 195:1338–1342PubMed

12.

Balakrishnan S, Lim YN, Barry C, Corstiaans A, Kannan K, Rane A (2007) Sling distress: a subanalysis of the IVS tapes from the SUSPEND trial. Aust N Z J Obstet Gynaecol 47:496–498CrossRefPubMed

13.

Prien-Larsen JC, Hemmingsen L (2009) Long term outcomes of TVT and IVS operations for treatment of female stress urinary incontinence: monofilament vs multifilament polypropylene tape. Int Urogynecol J Pelvic Floor Dysfunct 20(6):703–709CrossRefPubMed

14.

Costa P, Grise P, Droupy S, Monnein F, Assenmacher C, Ballanger P, bHermieu JF, Delmas V, Boccon-Gibod L, Ortuno C (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator-tape (T.O.T.) uratape: short term results of a prospective multicentric study. Eur Urol 46:102–107CrossRefPubMed

15.

Caquant F, Collinet P, Deruelle P, Lucot JP, Cosson M (2005) Perineal cellulitis followingtrans-obturator sub-urethral tape uratape. Eur Urol 47:108–110CrossRefPubMed

16.

Yamada BS, Govier FE, Stefanovic KB, Kobashi KC (2006) High rate of vaginal erosions associated with the mentor ObTape. J Urol 176:651–654, discussion 654CrossRefPubMed

17.

Rafii A, Jacob D, Deval B (2006) Obturator abscess after transobturator tape for stress urinary incontinence. Obstet Gynecol 108(3pt2):720–723CrossRefPubMed

18.

Karsenty G, Boman J, Elzayat E, Lemieux MC, Corcos J (2007) Severe soft tissue infection of the thigh after vaginal erosion of transobturator tape for stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18:207–212PubMed

19.

Palma PC, Dambros M, Riccetto CZ, Thiel M, Netto NR Jr (2005) The Ibero-American experience with a re-adjustable minimally invasive sling. BJU Int 95(3):341–345CrossRefPubMed

20.

Ortiz OC (2002) Safyre: a new readjustable sling procedure (technique). Int Urogynecol J Pelvic Floor Dysfunct 13:S52–S58CrossRef

21.

Kuschel S, Schuessler B (2008) Results on function and safety of the Safyre-t, a hybrid transobturator vaginal sling for the treatment of stress urinary incontinence. Neurourol Urodyn 27(5):403–406CrossRefPubMed

22.

Shobeiri SA, Echols KT, Franco N (2003) Sinus formation after insertion of a silicone-coated suburethral sling. Int Urogynecol J Pelvic Floor Dysfunct 14:356–357CrossRefPubMed

23.

Comiter CV, Colegrove PM (2004) High rate of vaginal extrusion of silicone-coated polyester sling. Urology 63:1066–1070CrossRefPubMed

24.

Govier FE, Kobashi KC, Kuznetsov DD, Comiter C, Jones P, Dakil SE, James R Jr (2005) Complications of transvaginal silicone-coated polyester synthetic mesh sling. Urology 66:741–745CrossRefPubMed

25.

Kroon ND, Smith KM (2008) Tension-free vaginal tape: what it’s made of can matter! Int Urogynecol J Pelvic Floor Dysfunct 19:103–106PubMed

26.

Choong S, Whitfield H (2000) Biofilms and their role in infections in urology. BJU Int 86:935–941CrossRefPubMed

27.

Nygaard I (2008) What does “FDA-approved” mean for medical devices? Obstet Gynecol 111:4–6CrossRefPubMed

28.

Kobashi KC, Dmochowski R, Mee SL, Mostwin J, Nitti VW, Zimmern PE, Leach GE (1999) Erosion of woven polyester pubovaginal sling. J Urol 162:2070–2072CrossRefPubMed

29.

Baessler K, Hewson AD, Tunn R, Schuessler B, Maher CF (2005) Severe mesh complications following intravaginal slingplasty. Obstet Gynecol 106:713–716CrossRefPubMed

30.

Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, Parekh M, Tamussino K, Tosson S, Lose G, Petri E (2008) Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 19:5–33PubMed

Title: Mesh-related chronic infections in silicone-coated polyester suburethral slings
Authors: Joseph K.-S. Lee
Gerard Agnew
Peter L. Dwyer
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 1/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1244-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Mesh-related chronic infections in silicone-coated polyester suburethral slings

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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