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.
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| http://dx.doi.org/10.1097/01.AOG.0000157756.86952.0d | DOI Listing |
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