Intense Inflammatory Reaction With Porcine Small Intestine Submucosa Pubovaginal Sling or Tape for Stress Urinary Incontinence
| Autor: | Tony T. John, Richard A. Santucci, N. Aggarwal, Ajay K. Singla |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Nephrology medicine.medical_specialty Urinary Incontinence Stress Urology Urinary incontinence Physical examination Cohort Studies Pubovaginal sling Submucosa Internal medicine medicine Humans Retrospective Studies Mons pubis Bioprosthesis Suburethral Slings medicine.diagnostic_test business.industry Foreign-Body Reaction Rectus sheath Middle Aged Small intestine submucosa Surgery medicine.anatomical_structure Female medicine.symptom business |
| Zdroj: | Urology. 72:1036-1039 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2008.07.043 |
| Popis: | OBJECTIVES To report on the intense local inflammatory reactions in patients undergoing pubovaginal sling or tape using a small intestinal submucosa graft. A case series of such inflammatory complications is presented. METHODS We performed 16 standard pubovaginal sling or tension-free tape procedures for stress urinary incontinence, using the Cook 4-ply Stratasis or 8-ply Stratasis-TF system. The diagnosis had been confirmed by the history, physical examination, and urodynamic study findings. RESULTS Of the 16 patients, 5 (31.3%) had intense suprapubic pain after surgery. One patient had induration of the mons pubis that required surgical drainage. Another patient had vaginal inflammation, with expulsion of graft material. Other patients had intense rectus sheath inflammation, as confirmed on computed tomography, that resolved with conservative care. CONCLUSIONS Previous case reports of inflammatory complications of small intestinal submucosa were confirmed in 31% of our patients. We have ceased using this product pending additional investigations or reformulation of the graft material. |
| Databáze: | OpenAIRE |
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