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KMID : 0877720070110020193
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Journal of Korean Continence Society
2007 Volume.11 No. 2 p.193 ~ p.196
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Vaginal Erosion and Pelvic Abscess after Anterior Intravaginal Slingplasty (IVS) in Patient with Stress Urinary Incontinence.
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Song Dong-Woo
Lee Sang-Ik
Jeong Tae-Yoong
Yoon Woon-Yong
Kim Dong-Jun
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Abstract
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Midurethral slings are increasingly popular for the surgical treatment of stress urinary incontinence. They are relatively simple to implant and shorten operating time, hospital stay, and recovery time. Tension free vaginal tape (TVT) and Intravaginal slingplasty (IVS) mesh are both polypropylene mesh. TVT is a type I totally macroporous mesh which, because of pores larger than 75 microns, admits bacteria, macrophages, and fibroblasts into the pores. IVS is a type III mesh with microporous components which admits bacteria but not macrophages. So anterior IVS appear to be more at risk of infection or vaginal erosion than other monofilament mesh. We report our experience with a patient who underwent anterior IVS and developed erosion of the mesh through vagina, creating pelvic abscess.
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KEYWORD
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Surgical mesh, Vagina, Abscess
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