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

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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.

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Abbreviations

TVT:

tension-free vaginal tape

TVT-O:

inside out transobturator vaginal tape

IVS:

intravaginal slingplasty

SUI:

stress urinary incontinence

DM:

diabetes mellitus

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Acknowledgements

The authors would like to thank the China Medical University Hospital for financially supporting this research under Contract DMR-95-068 and DMR-96-099.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, China Medical University Hospital, No. 2 Yu-Der Road, Taichung, 404, Taiwan

    Huey-Yi Chen, Ming Ho, Yao-Ching Hung & Li-Chia Huang

  2. School of Chinese Medicine, China Medical University, Taichung, Taiwan

    Huey-Yi Chen

  3. School of Medicine, China Medical University, Taichung, Taiwan

    Yao-Ching Hung

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  1. Huey-Yi Chen
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  2. Ming Ho
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Correspondence to Huey-Yi Chen.

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Chen, HY., Ho, M., Hung, YC. et al. Analysis of risk factors associated with vaginal erosion after synthetic sling procedures for stress urinary incontinence. Int Urogynecol J 19, 117–121 (2008). https://doi.org/10.1007/s00192-007-0400-2

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  • DOI: https://doi.org/10.1007/s00192-007-0400-2

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