International Urogynecology Journal

, Volume 18, Issue 3, pp 343–346

Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (IVS)

Authors

    • Department of Obstetrics and GynecologyUniversity of Tuebingen
  • Diethelm Wallwiener
    • Department of Obstetrics and GynecologyUniversity of Tuebingen
  • Arnulf Stenzl
    • Department of UrologyUniversity of Tuebingen
  • Franz-Erich Solomayer
    • Department of Obstetrics and GynecologyUniversity of Tuebingen
  • Karl-Dietrich Sievert
    • Department of UrologyUniversity of Tuebingen
Case Report

DOI: 10.1007/s00192-006-0139-1

Cite this article as:
Reisenauer, C., Wallwiener, D., Stenzl, A. et al. Int Urogynecol J (2007) 18: 343. doi:10.1007/s00192-006-0139-1

Abstract

A sixty-year-old woman with stress urinary incontinence had undergone a placement of an IVS (Tyco Health Care UK) in another hospital in February 2003. Seventeen months after the procedure, she complained about a suppurative discharge from the vagina and a recurrent severe stress urinary incontinence. The gynecological examination revealed an erosion of the sling into the vagina and a large urethrovaginal fistula bordered by granuloma. After removal of the sling, the urethrovaginal fistula was closed using a vaginal flap. A subsequent conservative treatment regime with duloxetine and pelvic floor training improved the stress urinary incontinence to the patient’s satisfaction.

Keywords

Vaginal erosionUrethral fistulaSuburethral synthetic slingStress urinary incontinenceDuloxetine

Copyright information

© International Urogynecology Journal 2006