Case Report

International Urogynecology Journal

, Volume 19, Issue 6, pp 877-879

First online:

Infected midurethral tape presenting as an ischiorectal abscess

  • Swati JhaAffiliated withRoyal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Trust Email author 
  • , Stephen RadleyAffiliated withRoyal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Trust
  • , Andrew ShorthouseAffiliated withNorthern General Hospital, Sheffield Teaching Hospitals NHS TrustSheffield Hallam University

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access


This is the first reported case of an ischiorectal abscess after a midurethral intravaginal slingplasty (IVS). The patient presented with recurrent ischiorectal abscess which was initially thought to be an unusual presentation of a fistula in ano. Subsequent examination under anaesthesia, however, revealed a fistulous tract extending from the right postero-lateral perianal opening to the vagina where the tape was noted to be eroded and infected. The abscess healed only after removal of the source of infection i.e. the IVS tape. In this report, we also discuss the two main types of meshes used as midurethral slings, the ways in which they differ and the arguments for and against using them.


Monofilament mesh Multifilament mesh IVS TVT