Surgical management of vaginal wound healing defects after tension‐free vaginal tape placement

The use of tension‐free vaginal tape (TVT) made of polypropylene mesh carries the risk of causing vaginal wound healing defects, which are usually detected within 4 weeks of operation. We present three cases of vaginal wound healing defects after TVT procedures. These defects were managed using surg...

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Bibliographic Details
Published inInternational journal of urology Vol. 12; no. 7; pp. 699 - 701
Main Authors LEE, TACK, KIM, JUN‐SIG, JUNG, JIN‐KWAN, LEE, HUN‐JAE
Format Journal Article
LanguageEnglish
Published Melbourne, Australia Blackwell Publishing Asia 01.07.2005
Subjects
Adult
Device Removal
Female
flap
Humans
Middle Aged
Polypropylenes - adverse effects
postoperative complications
stress
Surgical Flaps
Surgical Mesh - adverse effects
Surgical Wound Dehiscence - etiology
Surgical Wound Dehiscence - surgery
urinary incontinence
Urinary Incontinence, Stress - surgery
Vagina - pathology
Vagina - surgery
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Summary:The use of tension‐free vaginal tape (TVT) made of polypropylene mesh carries the risk of causing vaginal wound healing defects, which are usually detected within 4 weeks of operation. We present three cases of vaginal wound healing defects after TVT procedures. These defects were managed using surgical techniques aimed at preserving the mesh, but all failed. There are many options for dealing with the problems of vaginal wounds following TVT. These include further observation, mesh removal, suturing the wound, or using tissue flaps to cover it. However, the latter two options cannot be recommended as they usually fail.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2005.01135.x