Postoperative erosions of the Mersilene suburethral sling mesh for antiincontinence surgery.
Postoperative erosions of the Mersilene suburethral sling mesh for antiincontinence surgery.
复制标题
用于抗失禁手术的 Mersilene 尿道下吊带网术后糜烂。
DOI：
10.1007/s00192-008-0787-4
复制
发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Myers,DeborahL
中科院分区：
文献类型：
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作者：
Wohlrab,KyleJ;Erekson,ElisabethA;Myers,DeborahL
本研究的目的是描述Mersilene®尿道悬吊术治疗尿失禁后阴道补片糜烂的表现。我们对1996年至2007年在三级转诊中心放置的所有Mersilene®尿道悬吊系统进行了回顾性分析。共有772名女性接受了Mersilene®尿道悬吊术。我们确定了62名因补片侵蚀接受手术翻修的女性，总体侵蚀率为8%。最常见的症状是阴道分泌物，37%的女性报告。其他症状包括31%的女性阴道出血，13%的女性疼痛或性交困难，21%的女性排尿功能障碍。膀胱镜检查发现7名女性的膀胱内有补片。蜂窝织炎并发糜烂占8.3%。Mersilene®补片吊带糜烂的患者通常主诉阴道出血和分泌物，可能在术后20年内出现。
The objective of the study was to describe the presentation of vaginal mesh erosions following Mersilene® suburethral slings for urinary incontinence. We performed a retrospective review of all Mersilene® suburethral slings placed at a tertiary referral center from 1996 to 2007. A total of 772 women underwent placement of a Mersilene® suburethral sling. We identified 62 women that underwent surgical revision due to mesh erosion for an overall erosion rate of 8%. The most common presenting symptom was vaginal discharge reported in 37% of women. Other symptoms included vaginal bleeding in 31%, pain or dyspareunia in 13%, and voiding dysfunction in 21% of women. Seven women were found to have the mesh in the bladder on cystoscopy. Cellulitis complicated 8.3% of erosions. Patients with erosions of Mersilene® mesh slings commonly complain of vaginal bleeding and discharge and may present up to 20 years after the surgery.