Abstract
Background:
Synthetic mid-urethral sling (MUS) is a commonly used procedure to relieve stress urinary incontinence. Excellent cure rates make it a surgery of choice, but bothersome mesh-related symptoms can be distressing to the patient.
Case:
Retropubic synthetic MUS combined with laparoscopic-assisted vaginal hysterectomy in a 46-year-old woman resulted in postoperative chronic purulent discharge from the suprapubic sinus at the exit site of the sling, and profuse vaginal discharge from mesh exposure, of 5 years' duration. Her symptoms persisted in spite of repeated abdominal surgical explorations of the sinus tract and excision of the vaginally exposed mesh. Finally, exploration with complete removal of the infected mesh gave her relief.
Conclusions:
Relief from chronic suprapubic sinus and vaginal mesh exposure caused by infected synthetic MUS can be achieved only with complete removal of the sling. (J GYNECOL SURG 28:288)
