International Urogynecology Journal

, Volume 19, Issue 3, pp 449–452

Gluteo-vaginal sinus formation complicating posterior intravaginal slingplasty followed by successful IVS removal. A case report and review of the literature

  • Themistoklis Mikos
  • Tryfon Tsalikis
  • Alexios Papanikolaou
  • Fotios Pournaropoulos
  • John N. Bontis
Case Report

DOI: 10.1007/s00192-007-0454-1

Cite this article as:
Mikos, T., Tsalikis, T., Papanikolaou, A. et al. Int Urogynecol J (2008) 19: 449. doi:10.1007/s00192-007-0454-1

Abstract

Posterior intravaginal slingplasty (IVS) is a technique used for the treatment of apical prolapse. Type III meshes have been mostly used with this technique. In this article, a case of bilateral gluteo-vaginal sinus tract formation that complicated a posterior vaginal slingplasty with a type III mesh is presented. At 3 months follow-up, the patient complained for bulking through the vagina, continuous offensive vaginal discharge, and constant pain at the buttocks. She had prolapse recurrence, and there was defective healing at the gluteal entry points of the posterior IVS. Ten months after the initial surgery, she underwent a laparotomic subtotal hysterectomy and sacrocervicopexy with prolene type I mesh. At the same time, the posterior mesh was removed allowing the surgeon to discover communication of the canal of the mesh extending from gluteal incisions to the vagina epithelium. The sinus tract was managed surgically with excision of the surrounding tissues. There was no recurrence or other complications at 2 months follow-up.

Keywords

Apical prolapse Posterior IVS Recurrence Erosion Sinus formation 

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Themistoklis Mikos
    • 1
  • Tryfon Tsalikis
    • 1
  • Alexios Papanikolaou
    • 1
  • Fotios Pournaropoulos
    • 1
  • John N. Bontis
    • 1
  1. 1.Unit of Urogynecology, 1st Department of Obstetrics & GynecologyAristotle University of Thessaloniki, “Papageorghiou” General HospitalThessalonikiGreece

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