International Urogynecology Journal

, Volume 18, Issue 3, pp 343–346 | Cite as

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

  • Christl Reisenauer
  • Diethelm Wallwiener
  • Arnulf Stenzl
  • Franz-Erich Solomayer
  • Karl-Dietrich Sievert
Case Report

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 erosion Urethral fistula Suburethral synthetic sling Stress urinary incontinence Duloxetine 

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Copyright information

© International Urogynecology Journal 2006

Authors and Affiliations

  • Christl Reisenauer
    • 1
  • Diethelm Wallwiener
    • 1
  • Arnulf Stenzl
    • 2
  • Franz-Erich Solomayer
    • 1
  • Karl-Dietrich Sievert
    • 2
  1. 1.Department of Obstetrics and GynecologyUniversity of TuebingenTuebingenGermany
  2. 2.Department of UrologyUniversity of TuebingenTuebingenGermany

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