Incidence and Clinical Outcome of Patients with Vaginal Erosion

초록

Aims of Study Erosion of the sling into the vagina is a well known complication of synthetic materials. There are some reports of sling erosions presenting up to 3.5 years following sling placement. However, most series report a relatively low erosion rate, ranging from 0 to 11 %. Vaginal erosion after Tension-Free Vaginal Tape (TVT) is variously reported as 1 to 8 %. We estimate the incidence of vaginal erosion associated with the use of TVT and its risk factors in our patients, and clinical outcomes undergoing the vaginal free and pedicled flap to cover the defect. Methods Conclusions Vaginal Erosion after the tension-free vaginal tape procedure may lead to an additional surgical procedure, significantly increasing morbidity. Our findings indicate that in the case of vaginal erosion, the best choice of intervention is the transvaginal removal of the tape, but if the patient do not want to remove the TVT because of high operation cost, the vaginal pedicled-flap over the tape is recommended.