Recurrent suprapubic abscess and vaginal fistula after anterior intravaginal slingplasty

Abstract

Anterior intravaginal slingplasty is a widely used procedure for the treatment of stress urinary incontinence. After the operation, defective wound healing, infection, and fistula formation may follow. We present an unusual complication of anterior IVS that is recurrent suprapubic abscess and vaginal fistula formation in a 72-year-old woman. Fistulography was obtained and revealed a fistula tract extending from the suprapubic incision through the entire length of the mesh. Removal of the mesh and obliteration of the fistula tract was performed. Although the symptoms were relieved, the patient started to have episodes of stress urinary incontinence three weeks after the procedure.