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Volume : 40 Issue : 4 Year : 2021
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pelviperineology. 2009; 28(1): 10-13 | DOI:

Complications of vaginal supportive implants for prolapse surgery. New complications, new symptomatology, prevention and treatment

MICHEL COSSON1, PIERRE COLLINET1, MALEK BOUKERROU1, JEAN PHILIPPE LUCOT1, PHILIPPE DEBODINANCE2, BERNARD JACQUETIN3
1Medicine University Lille, Gynecologic Surgery Unit, Hospital Jeanne de Flandres, University Hospital Lille, France, 2Gynecology and Obstetric Unit, General Hospital Dunkerque, France, 3University Hospital Clermont Ferrand, Obstetric Gynecology, France

We describe a simple description of complications related to synthetic implants used in the treatment of stress incontinence or prolapse by the vaginal route. We describe their symptoms and propose a strategy for prevention and treatment of these complications. We will describe successively: Type 1: defect of vaginal healing - 1A: exposure of vaginal implant. 1B: abnormal healing: polyps, synechiae. Type 2: infection of the implant - 2A: persistent vaginal exposure with apparent local infection; 2B: infection along the implant; 2C: skin erosion near issue of the prosthesis, contiguous infection and fistulae along the supportive implant; 2D: contact abscess; 2E: distant abscess; 2F: fistulae; 2G: acute infection: pelvic cellulitis. Type 3: contraction of implant - Grade 1: palpation of supportive implant is painless, retraction moderate and asymptomatic, arm or body of the prosthesis is palpable but not thickened. Grade 2: retraction is moderate (less than about 30%) and\or without many symptoms, palpation may be sensitive, prosthesis globally moderately thickened without nodulae. Grade 3: important contraction (more than 50%) and\or painful palpation with localized thickening of the implant. 3A - important contraction, moderate symptomatology. 3B - important and symptomatic contraction. Grade 4: simple contact of implant is painful ++ even if contraction is not always palpable. Type 4: erosions due to implant a) erosions of vaginal fornix; b) uretral erosion; c) bladder erosion; d) rectal erosions; e) other distant erosions. This classification can only be temporary but distinguishes different types of complications too often mixed up in publications.


Cite This Article

COSSON M, COLLINET P, BOUKERROU M, LUCOT J, DEBODINANCE P, JACQUETIN B. Complications of vaginal supportive implants for prolapse surgery. New complications, new symptomatology, prevention and treatment. 2009; 28(1): 10-13

Corresponding Author: COSSON M.

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