Long-term risk of complications after mid-urethral sling IVS implantation

Grzegorz Surkont 1, Edyta Wlaźlak 1, Jacek Suzin 2
1 - Clinic of Operative and Oncologic Gynaecology, 1 st Department of Obstetrics and Gynaecology, Medical University, Łódź, Poland
2 - Clinic of Operative and Oncologic Gynecology, 1st Department of Obstetrics and Gynecology, Medical University of Łódź, Poland
Ann Agric Environ Med
2015; 22 (1):
ICID: 1141388
Article type: Original article
Introduction. Results of short-term evaluation of multifilament microporous midurethral tape IVS differ a great deal. During the first year of implantation, erosions have been observed in 0%–26% of operated women. Long-term observations are rare. They suggest high risk of extrusion and infection even after years of implantation.
Objective. The purpose of the study was to evaluate long-term risk of complications after IVS implantation. Material and methods. Between 2001–2005, 72 women were operated on with the use of IVS mid-urethral tape.
Results. Two women had vaginal erosions during the first 3 months after the operation. Twelve women had vaginal erosions, purulent vaginal discharge, with IVS tape sticking out of the abdominal wall or vagina, and abdominal abscess. These complications were diagnosed between 9 months and 6 years after IVS implantation. The patients were operated on vaginally and open abdominally, 1–5 times because of complications after IVS implantation.
Conclusions. In the case of post-IVS complication, as much tape as possible should be excised. Long-term follow up on patients with IVS implantation should be recommended to the centres where IVS tape was used, even to patients after removal of the tape. Risk of erosion, extrusion and infection after midurethral multifilament microporous IVS tape implantation is too high – which is the reason it should no longer be used.
DOI: 10.5604/12321966.1141388
PMID 25780848 - click here to show this article in PubMed

Recommend this article to:


Related articles in IndexCopernicus™
     Abscess [54 related records]
     erosion [72 related records]
     long-term outcome [3 related records]
     multifilament tape [0 related records]
     IVS [2 related records]
     stress urinary incontinence [35 related records]


Related articles

S Vatandust, B Gharamaleki,
The effect of lumbar lordosis, pelvic tilt, type a...
Background and Aim : Pay attention to high prevalence of stress urinary incontinence (SUI) in women athletes and role of changes in lumbar lordosis, pelvic tilt and the type and number of delivery factors on the incidence of Urinary Stress Incontinen...
M Ruslan, ,
Study of Land Criticality in Sub-Sub Das Amandit S...
Critical land is defined as a land that has been damaged and is not in accordance with its allocation, thus losing or diminishing its functionality to specified or expected limit. Critical land is a land that has less than 25% of vegetation covering...
S Tabatabai, M Kamali,
Exploring the experiences of Iranian female athlet...
Background and Aim: Behavior of people in the face of disease and help seeking is very different.  Considering the high prevalence of urinary stress incontinence in female athletes, knowing their experiences of help seeking and identify of t...