Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence

  • Huey-Yi Chen
  • Ming Ho
  • Yao-Ching Hung
  • Li-Chia Huang
Original Article

DOI: 10.1007/s00192-007-0400-2

Cite this article as:
Chen, HY., Ho, M., Hung, YC. et al. Int Urogynecol J (2008) 19: 117. doi:10.1007/s00192-007-0400-2
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Abstract

The goal of this study was to analyze the risk factors associated with vaginal erosion after synthetic sling procedure for stress urinary incontinence. Follow-up evaluations were at 1 week, 1 to 3 months, 6 months, and annually after the operation. The evaluations included detailed history taking, vaginal examinations, and perineal ultrasonographic urethrocystography. The vaginal erosion rate (6/239) after the synthetic sling procedure was 2.5%. We assessed the relationship between clinical features and vaginal erosion. Of these, only diabetes mellitus (DM) was a significant risk factor for vaginal erosion. Women with DM were 8.3 times more at risk than women without DM for developing vaginal erosion after synthetic sling procedure (p < 0.05). The vaginal erosion-free rate during the 24-month follow-up decreased significantly in women with DM. The rate of vaginal erosion associated with type III multifilamentous polypropylene sling (intravaginal slingplasty) is 10.7% more than that with type I monofilament polypropylene sling (such as tension-free vaginal tape and inside out transobturator vaginal tape) (p = 0.054). Women with DM should be informed that vaginal erosion is a possible complication after synthetic sling procedure.

Keywords

Vaginal erosionSynthetic sling procedureStress urinary incontinenceDiabetes mellitus

Abbreviations

TVT

tension-free vaginal tape

TVT-O

inside out transobturator vaginal tape

IVS

intravaginal slingplasty

SUI

stress urinary incontinence

DM

diabetes mellitus

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Huey-Yi Chen
    • 1
    • 2
  • Ming Ho
    • 1
  • Yao-Ching Hung
    • 1
    • 3
  • Li-Chia Huang
    • 1
  1. 1.Department of Obstetrics and GynecologyChina Medical University HospitalTaichungTaiwan
  2. 2.School of Chinese MedicineChina Medical UniversityTaichungTaiwan
  3. 3.School of MedicineChina Medical UniversityTaichungTaiwan