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- Title
Multifilament polypropylene mesh for urinary incontinence: 10 cases of infections requiring removal of the sling.
- Authors
Bafghi, Abdolreza; Benizri, Emmanuel I.; Trastour, Cynthia; Benizri, Eric J.; Michiels, Jean-François; Bongain, André
- Abstract
One hundred and forty-nine women received a suburethral woven polypropylene mesh insertion for urodynamic stress incontinence. Eleven patients (7.5%) presented between 4 and 17 months after surgery (mean 10 months) with symptoms of retropubic infection. Ten patients required surgical exploration, drainage of the collection and removal of the tape either unilaterally (six) or bilaterally (four). Bacterial cultures were negative in nine women. Following removal of the tape, eight patients reported residual incontinence, either stress leakage (five) orde novourge incontinence (three). Multifilament polypropylene meshes appear to be more at risk of infection, usually requiring sling removal, which may be related to pore size of the mesh. Our data reinforce the importance of proper evaluation of new surgical procedures by rigorously designed randomised trials with adequate follow up to identify rare but potentially serious complications.
- Subjects
URINARY incontinence; URINATION disorders; POLYPROPYLENE; SURGICAL complications; INFECTION
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2005, Vol 112, Issue 3, p376
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/j.1471-0528.2004.00415.x