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Suprapubic-vaginocutaneous fistula 18 years after a bladder-neck suspension
Dobie L Giles1, G Willy Davila
1Department of Obstetrics and Gynecology Department, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Background:
Several complications are associated with healing after pelvic reconstructive surgery for stress urinary incontinence. These include infection, hemorrhage, erosion, and fistula formation.
Case:
A 67-year-old woman presented with simultaneously draining vaginal and suprapubic sinuses. Examination revealed a vagino-abdominal fistula. Surgical excision found an abscess around synthetic material from a previous bladder-neck suspension.
Conclusion:
Unusual fistulation can occur remotely from anti-incontinence surgery, especially when graft materials are used.