Vesicovaginal fistula caused by abdominal hysterectomy and sacrocolpopexy with polypropylene mesh (GYNEMESH) : a case report

A 45-year-old woman underwent abdominal simple hysterectomy and sacrocolpopexy with polypropylene mesh (GYNEMESH) for uterine prolapse at the department of Gynecology in October 2006. One month after the operation, she visited our department with a complaint of urinary incontinence. Cystography and...

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Bibliographische Detailangaben
Veröffentlicht in:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 56(2010), 9 vom: 12. Sept., Seite 517-20
1. Verfasser: Yamamoto, Yoshiyuki (VerfasserIn)
Weitere Verfasser: Nishimura, Kensaku, Ueda, Norichika, Kawamura, Norihiko, Ujike, Takeshi, Nin, Mikio, Miyoshi, Susumu
Format: Aufsatz
Sprache:Japanese
Veröffentlicht: 2010
Zugriff auf das übergeordnete Werk:Hinyokika kiyo. Acta urologica Japonica
Schlagworte:Case Reports English Abstract Journal Article Polypropylenes
Beschreibung
Zusammenfassung:A 45-year-old woman underwent abdominal simple hysterectomy and sacrocolpopexy with polypropylene mesh (GYNEMESH) for uterine prolapse at the department of Gynecology in October 2006. One month after the operation, she visited our department with a complaint of urinary incontinence. Cystography and magnetic resonance imaging revealed a vesicovaginal fistula. A foley catheter was indwelt for the purpose of conservative treatment, but failed. Considering possible infection and inflammation remaining, we decided to perform abdominal repair of the vesicovaginal fistula about three months after the operation. Transabdominal repair of the vesicovaginal fistula was performed in February 2007. During the operation, a fistula 3 mm in diameter was confirmed just adjacent to the distal edge of the polypropylene mesh which had been fixed between the bladder and the anterior wall of vagina. Eleven days after the operation, cystography revealed no evidence of the vesicovaginal fistula. There has been no sign of recurrence at three years after the operation
Beschreibung:Date Completed 15.11.2010
Date Revised 13.10.2010
published: Print
Citation Status MEDLINE
ISSN:0018-1994