Common and Uncommon Complications of Autologous Pubovaginal Sling

Andraska E, Santiago-Lastra Y and Stoffel JT

Department of Urology, University of Michigan Medical School, USA

^*Correspondance to: John T Stoffel 

 PDF  Full Text Case Report | Open Access

Abstract:

Introduction: Erosion of autologous pubovaginal slings, placed for treatment of urinary stress incontinence, is uncommon. The complication profile of autologous slings differs from polypropylene midurethral slings.Materials: This patient presented with supra pubic pain, dysuria, recurrent urinary tract infections/ pyelonephritis, stress incontinence, and urinary retention requiring intermittent catheterization. Cystoscopy revealed that her previous pubovaginal sling, placed 4 months prior, had perforated the bladder was responsible for the symptoms.Results: The patient required a cystectomy and urinary diversion to treat her refractory symptoms. Compared to midurethral polypropylene slings, autologous pubovaginal slings have a much lower incidence of material extrusion or erosion but a higher incidence of infectious complications, particularly wound infections.Conclusions: Erosion of pubovaginal sling into the bladder is an uncommon source of refractory urinary symptoms

Keywords:

Complications; Autologous pubovaginal sling; Erosion

Cite the Article:

Andraska E, Santiago-Lastra Y, Stoffel JT. Common and Uncommon Complications of Autologous Pubovaginal Sling. Ann Clin Case Rep. 2016; 1: 1055.