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Complications from transvaginal pubovaginal slings using bone anchor fixation
Michael F Fialkow1, Gretchen M Lentz, Elizabeth A Miller
1Division of Female Urology and Urogynecology, University of Washington Medical Center, Seattle, Washington 98195, USA.
Urology
|December 15, 2004
Summary
Transvaginal pubovaginal slings with bone anchors can cause serious complications like infection and pain. These issues may not respond to standard treatments, requiring careful patient counseling.
Area of Science:
- Urology
- Gynecologic Surgery
Background:
- Transvaginal pubovaginal slings are used for stress urinary incontinence.
- Bone anchor fixation is a method for securing these slings.
Purpose of the Study:
- To evaluate the history and management of complications.
- Focus on transvaginally placed pubovaginal slings using bone anchor fixation.
Main Methods:
- Retrospective review of 10 patients over 3 years.
- Patients referred for complications after bone anchor sling placement.
Main Results:
- Complications included fever, pain, dyspareunia, and vaginal discharge.
- Two patients developed osteomyelitis; six had sinus tracts.
- One patient had a bladder neck suture; nine required surgery.
Conclusions:
- Bone anchor slings can lead to severe, intractable complications.
- Enhanced patient counseling is crucial for those undergoing this procedure.