Delayed complications of intravaginal slingplasty multifilament tape: two case reports

Abstract

We would like to present two cases of delayed complications of intravaginal slingplasty (IVS) suburethral sling in Penang, Malaysia. There were two patients who were referred to us for problems subsequent to suburethral sling surgery using the IVS sling. These patients were reviewed and subsequently treated. The first patient presented with a bleeding granuloma. She underwent surgery and intra operatively the granuloma was excised. On exploration there was remnant of the tape bilaterally. The tape was easily excised with traction. A diagnostic cystoscopy did not show any abnormality. The second patient presented with a severe sling exposure. This patient also had surgery to excise the sling. It was easily dislodged with traction and removed completely. There were pus collections on one side. On subsequent review both patients were well with no more vaginal bleeding or discharge. Both patients however remained continent. This report is to show IVS sling complications may present in different manner and the need for attending physician to be aware of these presentations. They should be aware of the delayed presentation of these complications.