Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape

Area of Science:

• Urology
• Surgical Complications
• Medical Device Safety

Background:

• Mid-urethral tapes are commonly used for stress urinary incontinence.
• Postoperative complications, though rare, can be severe.
• Understanding these complications is crucial for patient management.

Observation:

• A patient developed a chronic, antibiotic-resistant infection post mid-urethral tape insertion.
• Surgical removal of the tape was necessary.
• Complications included an infected incisional hernia and a vesico-cutaneous fistula.

Findings:

• The infected incisional hernia and vesico-cutaneous fistula necessitated complex surgical reconstruction.
• Abdominal wall reconstruction utilized Permacol.
• Excision of the vesico-cutaneous fistula was performed.

Implications:

• This case underscores the importance of vigilance for rare mid-urethral tape complications.
• Complex reconstructive surgery may be required for severe outcomes.
• The study briefly touches upon the influence of health tourism on the National Health Service.